17-amino substituted 4-azasteroid 5α-reductase inhibitors

ABSTRACT

PCT No. PCT/US93/04633 Sec. 371 Date Mar. 20, 1995 Sec. 102(e) Date Mar. 20, 1995 PCT Filed May 17, 1993 PCT Pub. No. WO93/23038 PCT Pub. Date Nov. 25, 1993Novel amino substituted 4-azasteroid 5 alpha -reductase inhibitors of formula (I).    &lt;IMAGE&gt;  (I)   &lt;IMAGE&gt;  (a)   &lt;IMAGE&gt;  (b)   &lt;IMAGE&gt;  (c)  wherein A is (a), (b) or (c), are claimed as well as pharmaceutically acceptable salts and formulations thereof. These compounds are effective in inhibiting testosterone 5 alpha -reductase(s) and are thus useful in the treatment of a number of hyperandrogenic conditions including benign prostatic hypertrophy, acne, seborrhea, female hirsutism, and male and female pattern baldness (alopecia).

CROSS REFERENCE TO RELATED APPLICATIONS

This application is a national phase application under 35 U.S.C. § 371 of international application PCT/US 93/04633, filed May 17, 1993, and published as WO93/23038 Nov. 25, 1993, which is a continuation in part of U.S. application Ser. No. 886,057, filed May 20, 1992, presently abandoned.

BACKGROUND OF THE INVENTION

The present invention is directed to novel amino substituted 4-azasteroidal 5α-reductase inhibitors.

The art reveals that certain undesirable physiological manifestations, such as acne vulgaris, seborrhea, female hirsutism, male pattern baldness and benign prostatic hypertrophy, are the result of hyperandrogenic stimulation caused by an excessive accumulation of testosterone or similar androgenic hormones in the metabolic system. Early attempts to provide a chemotherapeutic agent to counter the undesirable results of hyperandrogenicity resulted in the discovery of several steroidal antiandrogens having undesirable hormonal activities of their own. The estrogens, for example, not only counteract the effect of the androgens but have a feminizing effect as well. Non-steroidal antiandrogens have also been developed, for example, 4'-nitro-3'-trifluoromethyl-isobutyranilide. See Neri, et al., Endo., Vol. 91, No. 2 (1972). However, these products, though devoid of hormonal effects. are peripherally active, competing with the natural androgens for receptor sites, and hence have a tendency to feminize a male host or the male fetus of a female host.

It is now known in the art that the principal mediator of androgenic activity in some target organs is 5α-dihydrotestosterone, and that it is formed locally in the target organ by the action of testosterone-5α-reductase. It is also known that inhibitors of testosterone-5α-reductase will serve to prevent or lessen symptoms of hyperandrogenic stimulation. A number of 4-azasteroid compounds are known in the art as 5α-reductase inhibitors. For example, See U.S. Pat. Nos. 2,227,876, 3,239,417, 3,264,301 and 3,285,918; French Patent No. 1,465,544; Doorenbos and Solomons, J. Pharm. Sci. 62, 4, pp. 638-640 (1973); Doorenbos and Brown, J. Pharm. Sci., 60, 8, pp. 1234-1235 (1971); and Doorenbos and Kim, J. Pharm. Sci. 63, 4, pp. 620-622 (1974).

In addition, U.S. Pat. Nos. 4,377,584, 4,220,775, 4,859,681, 4,760,071 and the articles J. Med. Chem. 27, p. 1690-1701 (1984) and J. Med. Chem. 29, 2998-2315 (1986) of Rasmusson, et al., U.S. Pat. No. 4,845,104 to Carlin, et al., and U.S. Pat. No. 4,732,897 to Cainelli, et al. describe 4-aza-17β-substituted-5α-androstan-3-ones which are said to be useful in the treatment of DHT-related hyperandrogenic conditions.

However, despite the suggestion in the prior art that hyperandrogenic diseases are the result of a single 5α-reductase, there are reports regarding the presence of other 5α-reductase isozymes in both rats and humans. For example, in human prostate, Bruchovsky, et al. (See J. Clin. Endocrinol. Metab. 67, 806-816, 1988) and Hudson (see J. Steroid Biochem. 26, p 349-353, 1987) found different 5α-reductase activities in the stromal and epithelial fractions. Additionally, Moore and Wilson described two distinct human reductases with peaks of activities at either pH 5.5 or pH 7-9. (See J. Biol. Chem. 251, 19, p. 5895-5900, 1976.)

Recently, Andersson and Russell isolated a cDNA which encodes a rat liver 5α-reductase (see J. Biol. Chem. 264 pp. 16249-55 (1989). They found a single mRNA which encodes both the liver and prostatic reductases of rats. The sequence of this rat gene was later used to select a human prostatic cDNA encoding a 5α-reductase termed "5α-reductase 1". (See Proc. Nat'l. Acad. Sci. 87, p. 3640-3644, 1990.)

More recently, a second, more abundant reductase (5α-reductase 2) has been cloned from human prostate with properties identified with the form found in crude human prostatic extracts. (See Nature, 354, p. 159-161, 1991.)

Further, "Syndromes of Androgen Resistance"--The Biology of Reproduction, Vol. 46, p. 168-173 (1992) by Jean O. Wilson indicates that the 5α-reductase 1 enzyme may be associated with hair follicles.

Thus, the art supports the existence of at least two genes for 5α-reductase and two distinct isozymes of 5α-reductase in humans. Both forms are present in prostatic tissue in which, 5α-reductase 2, is the more abundant, whereas the other isozyme, 5α-reductase 1, is believed to be more abundant in scalp tissue.

In the treatment of hyperandrogenic disease conditions, e.g. benign prostatic hyperplasia (BPH) it would be desirable to have one drug entity which is active against both enzymes 1 and 2 in the prostate to substantially inhibit dihydrotesterone (DHT) production. Alternatively, it would be desirable to have a drug entity which is highly selective for inhibiting the scalp associated enzyme 5α-reductase 1, for use in treating diseases of the skin and scalp, e.g., acne and alopecia. This latter drug could thus be used in combination with PROSCAR® (finasteride) which is highly selective for the prostatic enzyme 5α-reductase 2 for combination therapy in the treatment of BPH.

SUMMARY OF THE INVENTION

The present invention is concerned with novel 4-azasteroidal compounds and pharmaceutical compositions and formulations thereof that are useful for inhibiting the 5α-reductase isozymes 1 and 2 and are particularly effective in selectively inhibiting the 5α-reductase 1 associated with the scalp and dually inhibiting both isozymes 1 and 2 in the treatment of benign prostatic hyperplasia, acne, female hirsutism, male pattern baldness, androgenic alopecia, prostatitis, and the treatment of prostatic carcinoma.

The present invention is concerned with compounds of the formula: ##STR2## and the pharmaceutically acceptable salts thereof, wherein: A is: ##STR3## except when R² equals H, there is a 5αH and W equals C(O), R³ can not be C₁₋₁₂ alkyl, ##STR4## wherein R¹ is:

H,

methyl or ethyl;

R² is:

H, or

C₁₋₂₀ alkyl;

R³ is:

H,

aminoC₁ -C₄ alkyl,

mono C₁ -C₄ alkylaminoC₁ -C₄ alkyl,

di C₁ -C₄ alkylaminoC₁ -C₄ alkyl,

mono C₁ -C₄ alkylaminoaryl,

di C₁ -C₄ alkylaminoaryl,

C₁₋₂₀ alkyl,

C₆₋₁₄ aryl,

heteroaryl,

C₆₋₁₄ arylC₁₋₂₀ alkyl,

heteroarylC₁₋₂₀ alkyl,

C₁₋₂₀ alkylthioC₁₋₂₀ alkyl,

C₁₋₂₀ alkylsulfinylC₁₋₂₀ alkyl,

C₁₋₂₀ alkyloxycarbonylC₁₋₂₀ alkyl,

carboxylC₁₋₂₀ alkyl,

C₁₋₂₀ alkylcarbonylC₁₋₂₀ alkyl,

carboxylC₁₋₂₀ alkyl,

C₁₋₂₀ alkylcarbonylC₁₋₂₀ alkyl,

C₃₋₂₀ cycloalkyl,

C₃₋₂₀ cycloalkylC₁₋₂₀ alkyl,

C₆₋₁₄ arylC₁₋₂₀ alkyloxycarbonylC₁₋₂₀ alkyl,

heteroarylC₁₋₂₀ alkyloxycarbonylC₁₋₂₀ alkyl,

haloC₁₋₂₀ alkyl,

hydroxylC₁₋₂₀ alkyl,

halohydroxylC₁₋₂₀ alkyl,

thiosulfatoC₁₋₂₀ alkyl,

₆₋₁₄ arylC₁₋₂₀ alkyloxyC₁₋₂₀ alkyl,

C₁₋₂₀ alkyloxyC₁₋₂₀ alkyl,

₆₋₁₄ arylcarbonylC₆₋₁₄ arylC₁₋₂₀ alkyl,

diarylC₁₋₂₀ alkyl of the formula: ##STR5## n equals 1-19; triarylC₁₋₂₀ alkyl of the formula: ##STR6## n equals 1-19; C₂₋₂₀ alkenyl,

C₂₋₂₀ alkenylC₁₋₂₀ alkyl,

heteroarylC₂₋₂₀ alkenyl,

C₆₋₁₄ arylC₂₋₂₀ alkenyl,

C₂₋₂₀ alkynylC₁₋₂₀ alkyl,

C₆₋₁₄ arylC₂₋₂₀ alkynylC₁₋₂₀ alkyl, or

heteroarylC₂₋₂₀ alkynylC₁₋₂₀ alkyl;

R⁴ is:

C₁₋₂₀ alkyl,

C₆ aryl wherein aryl is a monocyclic system composed of 6-membered aromatic rings either unsubstituted or substituted with R wherein R is H, C₁₋₆ alkyl, arylC₁₋₂₀ alkyl with the alkyl groups unsubstituted or substituted with hydroxyl, C₁₋₈ alkyloxy, carboxy C₀₋₁₀ alkyl, or halogen or aryl directly substituted independently with amino, mono C₁ -C₄ alkylamino, di C₁ -C₄ alkylamino, mono C₁ -C₄ alkylaminoaryl, di C₁ -C₄ alkylaminoaryl, hydroxyl, haloC₁₋₂₀ alkyl, carboxamido, benzoyl, C₁₋₂₀ alkyloxy, C₁₋₂₀ alkyl, C₂₋₂₀ alkenyl, cyano, nitro, acetamide, halogen or other specific groups as shown herein or

heteroaryl;

R⁵ can be the same or different when x is greater than 1 and is:

H, or

C₁₋₁₂ alkyl;

R⁷ or R⁸ are:

H,

CH₃,

C₂ H₅,

carboxamido,

C₁₋₆ alkylthio,

C₁ -C₆ alkylsulfinyl,

C₁ -C₆ alkylsulfonyl,

OCH₃,

NH₂,

CH₃ NH,

(CH₃)₂ N,

OH,

NO₂,

CN,

F,

acetamido,

Cl,

OC₂ H₅,

CF₃,

isopropyl, or

isobutyl; n equals 1-10 and the C₁₋₂₀ alkyl portion is optionally substituted with R⁵ ;

W is: ##STR7## x is an integer from 1-25; and the dashes indicate a double bond is optionally present.

Advantageously, compounds of the following formula are disclosed: ##STR8## and the pharmaceutically acceptable salts thereof wherein: A is: ##STR9## except when R² equals H, there is a 5 alphaH and W equals C(O), R³ can not be C₁₋₁₂ alkyl ##STR10## wherein R¹ is:

H,

methyl, or ethyl;

R² is:

H, or

C₁₋₂₀ alkyl;

R³ is:

H,

C₁₋₂₀ alkyl is a straight or branched chain alkane of up to 20 carbon atoms;

C₆₋₁₄ aryl wherein aryl is a mono or polycyclic system composed of 6-membered aromatic rings either unsubstituted or substituted with R wherein R is H, C₁₋₆ alkyl, arylC₁₋₂₀ alkyl with the alkyl groups unsubstituted or substituted with hydroxyl, C₁₋₈ alkyloxy, carboxy C₀₋₁₀ alkyl, or halogen or aryl directly substituted independently with amino, mono C₁ -C₄ alkylamino, di C₁ -C₄ alkylamino, mono C₁ -C₄ alkylaminoaryl, di C₁ -C₄ alkylaminoaryl, hydroxyl, haloC₁₋₂₀ alkyl, carboxamido, benzoyl, C₁₋₂₀ alkyloxy, C₁₋₂₀ alkyl, C₂₋₂₀ alkenyl, cyano, nitro, acetamide or halogen;

heteroaryl which is a mono or polycyclic system composed of 5- or 6-membered aromatic rings consisting of 1, 2, 3 or 4 heteroatoms chosen from N, O, or S and either unsubstituted or substituted with R or independently with hydroxyl, C₁₋₂₀ alkyloxy, C₁₋₂₀ alkyl, benzoyl, carboamide, acetamide, halogens, C₂₋₂₀ alkenyl, cyano, nitro, or haloalkyl directly bonded to the aromatic carbon atoms(s);

C₆₋₁₄ arylC₁₋₂₀ alkyl of the formula: ##STR11## wherein the aromatic ring is optionally and independently substituted with R⁷ and R⁸ wherein R⁷ and R⁸ are

H,

CH₃,

C₂ H₅,

carboxamido,

C₁ -C₆ alkylthio,

C₁ -C₆ alkylsulfinyl,

C₁ -C₆ alkylsulfonyl,

OCH₃,

NH₂,

CH₃ NH,

(CH₃)₂ N,

OH,

NO₂,

CN,

F,

acetamido,

Cl,

OC₂ H₅,

CF₃,

isopropyl, or

isobutyl; n equals 1-10 and the C₁₋₂₀ alkyl portion is optionally substituted with R⁵ ;

HeteroarylC₁₋₂₀ alkyl of the formula: ##STR12## wherein X equals O, S, or NR; and n equals 1-10; C₁₋₂₀ alkylsulfonylC₁₋₂₀ alkyl,

C₁₋₂₀ alkylthioC₁₋₂₀ alkyl,

C₁₋₂₀ alkylsulfinylC₁₋₂₀ alkyl of the formula:

--(CH₂)_(n) S(O)_(p) --R⁹ wherein R⁹ is

CH₃,

C₂ H₅,

C₃ H₇,

C₄ H₉,

isopropyl,

isobutyl,

sec-butyl,

t-butyl,

isopentyl,

neopentyl, or

ixohexyl; n equals 1-15 and p=0-2

C₁₋₂₀ alkyloxycarbonylC₁₋₂₀ alkyl of the formula: ##STR13## wherein R¹⁰ is: CH₃,

C₂ H₅,

C₃ H₇,

C₄ H₉, or

C₅ H₁₁ ; and n equals 1-20;

CarboxylC₁₋₂₀ alkyl of the formula: ##STR14## n=1-20; C₁₋₂₀ alkylcarbonylC₁₋₂₀ alkyl of the formula ##STR15## n equals 1-20; m equals 0-19;

C₃₋₂₀ cycloalkylC₁₋₂₀ alkyl of the formula:

--(CH₂)_(n) -(cycloalkyl) wherein the cycloalkyl protion is a monocyclic, bicyclic, or polycyclic hydrocarbon of up to 20 carbon atoms wherein the rings are optionally substituted with R¹ ; and n=1-20;

ArylC₁₋₂₀ alkyloxycarbonylC₁₋₂₀ alkyl of the formula: ##STR16## wherein n=1-20: HeteroarylC₁₋₂₀ alkyloxycarbonylC₁₋₂₀ alkyl of the formula: ##STR17## wherein Heteroaryl is as defined and n=1-20; haloC₁₋₂₀ alkyl of the formula:

--(CH₂)_(n) --CH₂ X wherein

X equals Br, Cl, F or I; n is 1-19;

hydroxylC₁₋₂₀ alkyl of the formula:

--(CH₂)_(n) CH₂ OH; n is 1-19;

halohydroxylC₁₋₂₀ alkyl of the formula: ##STR18## wherein n=1-18

q=0-18

n +q=0-18 and

X equals Br, Cl, F or I;

ThiosulfatoC₋₂₀ alkyl of the formula:

--(CH₂)_(n) CH₂ SSO₃ Na; n is 1-19;

ArylC₁₋₂₀ alkyloxyC₁₋₂₀ alkyl of the formula: ##STR19## n is 1-20; ArylcarbonylarylC₁₋₂₀ alkyl of the formula: ##STR20## n equals 1-20; DiarylC₁₋₂₀ alkyl of the formula: ##STR21## n equals 0-19; TriarylC₁₋₂₀ alkyl of the formula: ##STR22## n equals 1-19; Aryl C₂₋₂₀ alkenyl of the formula: ##STR23## n=0-18 m=0-18

m+n=0-18

R⁴ is

H,

C₁₋₂₀ alkyl,

C₆ aryl wherein aryl is a monocyclic system composed of 6-membered aromatic rings either unsubstituted or substituted with R wherein R is H, C₁₋₆ alkyl, arylC₁₋₂₀ alkyl with the alkyl groups unsubstituted or substituted with hydroxyl, C₁₋₈ alkyloxy, carboxy C₀₋₁₀ alkyl, or halogen or aryl directly substituted independently with amino, mono C₁ -C₄ alkylamino, di C₁ -C₄ alkylamino, mono C₁ -C₄ alkylaminoaryl, di C₁ -C₄ alkylaminoaryl, hydroxyl, haloC₁₋₂₀ alkyl, carboxamido, benzoyl, C₁₋₂₀ alkyloxy, C₋₂₀ alkyl, C₂₋₂₀ alkenyl, cyano, nitro, acetamide or halogen; or

heteroaryl;

R⁵ can be the same or different when x is greater than one and is;

H, or

C₁₋₁₂ alkyl;

W is: ##STR24## x is an integer from 1-10; and the dashes indicate a double bond is optionally present.

The present invention is particularly concerned with providing a method of treating the hyperandrogenic conditions of androgenic alopecia, acne vulgaris, seborrhea, and female hirsutism by topical and/or oral administration, and a method of treating all of the above conditions as well as benign prostatic hyperplasia, prostatitis, the treatment of prostatic carcinoma, by oral or parenteral administration, of the novel compounds of the present invention.

The present invention is thus also concerned with providing suitable topical, oral and parenteral formulations for use in the novel methods of treatment of the present invention.

DETAILED DESCRIPTION OF THE INVENTION

The present invention is concerned with novel 4-azasteroidal amide compounds and pharmaceutical compositions and formulations thereof that are useful as testosterone 5α-reductase inhibitors to treat various hyperandrongenic conditions including acne vulgaris, seborrhea, female hirsutism, male pattern baldness, benign prostatic hypertrophy, prostatitis, androgenic alopecia, and the treatment of prostatic carcinoma. Advantageously, the compounds of the invention may be used to treat scalp disorders by selectively inhibiting 5α-reductase 1 or the compounds may be used as dual inhibitors of 5αreductase 1 and 2 to treat the above disorders.

The present invention is concerned with compounds of the formula: ##STR25## and the pharmaceutically acceptable salts thereof, wherein: A is ##STR26## except when R² equals H, there is a 5αH and W equals C(O), R³ can not be C₁₋₁₂ alkyl, ##STR27## wherein wherein

R¹ is H, methyl or ethyl;

R² is H, or C₁₋₂₀ alkyl;

R³ is:

H,

C₁₋₂₀ alkyl,

C₅₋₁₄ aryl,

heteroaryl,

C₅₋₁₄ arylC₁₋₂₀ alkyl,

heteroarylC₁₋₂₀ alkyl,

C₁₋₂₀ alkyloxyC₁₋₂₀ alkyl,

C₁₋₂₀ alkylthioC₁₋₂₀ alkyl,

C₁₋₂₀ alkyloxycarbonylC₁₋₂₀ alkyl,

C₁₋₂₀ alkylC₆₋₁₄ arylC₁₋₂₀ alkyl,

carboxyC₁₋₂₀ alkyl,

C₁₋₂₀ alkylcarbonylC₁₋₂₀ alkyl,

C₃₋₂₀ cycloalkyl,

C₃₋₂₀ cycloalkylC₁₋₂₀ alkyl,

C₆₋₁₄ arylC₁₋₂₀ alkyloxycarbonylC₁₋₂₀ alkyl,

heteroarylC₁₋₂₀ alkyloxycarbonylC₁₋₂₀ alkyl,

haloC₁₋₂₀ alkyl,

hydroxyC₁₋₂₀ alkyl,

halohydroxyC₁₋₂₀ alkyl,

thiosulfatoC₁₋₂₀ alkyl,

C₆₋₁₄ arylC₁₋₂₀ alkyloxyC₂₋₂₀ alkynylC₁₋₂₀ alkyl,

C₆₋₁₄ arylC₂₋₂₀ alkynylC₁₋₂₀ alkyl,

heteroarylC₂₋₂₀ alkynylC¹⁻²⁰ alkyl,

diarylC₁₋₂₀ alkyl,

triarylC₁₋₂₀ alkyl,

C₂₋₂₀ alkenyl,

C₆₋₁₄ arylcarbonylarylC₁₋₂₀ alkyl,

C₂₋₂₀ alkenylC¹⁻²⁰ alkyl,

C₆₋₁₄ arylC₂₋₂₀ alkenyl, or

heteroarylC₂₋₂₀ alkenyl;

R⁴ is

H,

C₁₋₂₀ alkyl,

C₅₋₁₄ aryl, or

heteroaryl;

R⁵ can be the same or different when x is greater than 1 and is:

H, or

C₁₋₂₀ alkyl;

W is ##STR28## x is an integer from 1 to 25.

Compounds of the formula ##STR29## and listed in Table 1 are representative of the compounds claimed in the instant invention. In a preferred embodiment, R¹ may be H or CH₃ and A may be as indicated in Table 1. Particular representative chemical names are also listed in Table 1 adjacent to the respective side chain and specifically reflect whether the 1 position is saturated or unsaturated. Advantageously, R¹ is CH₃, A is as indicated in Table 1 and the 1 position is saturated. Unless otherwise indicated, the 17-position substituent is assumed to be in the beta configuration.

                                      TABLE 1                                      __________________________________________________________________________     Side Chain A        Compound(s):                                               __________________________________________________________________________      ##STR30##          4-methyl-20(trimethylacetamido)- 5α-4-aza-pregna                         n-3-one 4-methyl-20(trimethylacetamido)- 5α-4-az                         a-1-pregnen-3-one                                           ##STR31##          4-methyl-17β(trimethylacetamidomethyl)-4-aza-                             5α-androst-1-en-3-one 4-methyl-17β(trimethy                         lacetamidomethyl)-4-aza 5α-androstan-3-one            ##STR32##          4-methyl-17β(trimethylacetamido)-4-aza 5α-a                         ndrost-1-en-3-one 4-methyl-17β(trimethylacetamido                         )-4-aza 5α-androstan-3-one                            ##STR33##          17β(acetamido)-4-methyl-4-aza 5α-androst-1-                         en-3-one 17β(acetamido)-4-methyl-4-aza 5α-a                         ndrostan-3-one                                              ##STR34##          4-methyl-17β(2-thiophenesulfonamidomethyl)-                               4-aza-5α-androst-1-en-3-one 4-methyl-17β(2-                         thiophenesulfonamidomethyl)- 4-aza-5α-androstan-                         3-one                                                       ##STR35##          17βisopropylthiododecanoylamidomethyl)- 4-methyl-                         4-aza-5α-androst-1-en-3-one 17β(isopropylth                         iododecanoylamidomethyl)- 4-methyl-4-aza-5α-andr                         ostan-3-one                                                 ##STR36##          4-methyl-17β(2-thiophenecarboxamido- methyl-4-aza                         -5α-androst-1-en-3-one 4-methyl-17β(thiophe                         necarboxamido- methyl)-4-aza-5α-androstan-3-one       ##STR37##          17β(carbomethoxyoctanoylamidomethyl)- 4-methyl-4-                         aza-5α-androst-1-en-3-one 17β(carbomethoxyo                         ctanoylamidomethyl)- 4-methyl-4-aza-5α-androstan                         -3-one                                                      ##STR38##          17β((2-(4-isobutylphenyl)- propionamidomethyl)-4-                         methyl-4-aza- 5α-androst-1-en-3-one 17β((2-                         (4-isobutylphenyl)- propionamidomethyl)-4-methyl-4-aza                         - 5α-androstan-3-one                                  ##STR39##          17β(8-carboxyoctanoylamidomethyl)- 4-methyl-4-aza                         -5α-androst-1-en-3-one 17β(8-carboxyoctanoy                         lamidomethyl)- 4-methyl-4-aza-5α-androstan-3-one      ##STR40##          17β(2-(acetoacetamidomethyl)-4-methyl- 4-aza-5.al                         pha.-androst-1-en-3-one 17β(2-(acetoacetamidometh                         yl-4-methyl- 4-aza-5α-androstan-3-one                 ##STR41##          17β(1-Adamantylacetamidomethyl)- 4-methyl-4-aza-5                         α-androst-1-en-3-one 17β(1-Adamantylacetami                         domethyl)- 4-methyl-4-aza-5α-androstan-3-one          ##STR42##          4-methyl-17β(2-thiopheneacetamidomethyl)-                                 4-aza-5α-androstane-3-one 4-methyl-17β(2-th                         iopheneacetamidomethyl)- 4-aza-5α-androstane-1-e                         n-3-one                                                     ##STR43##          17β(12-(t-butylthio)dodecanoylamido)- 4-methyl-4-                         aza-5α-androstan-3-one 17β(12-(t-butylthio)                         dodecanoylamido)- 4-methyl-4-aza-5α-androstan-1-                         en-3-one                                                    ##STR44##          17β(3-(carbobenzoyloxy)propionamido- methyl)-4-me                         thyl-4-aza-5α-androstan-3- one 17β(3-(carbo                         benzoyloxy)propionamido- methyl)-4-methyl-4-aza-5.alph                         a.-androstan-1- en-3-one                                    ##STR45##          17β(3,4-dimethoxyphenylacetamido- methyl)-4-methy                         l-4-aza-5α-androstan- 3-one 17β(3,4-dimetho                         xyphenylacetamido- methyl)-4-methyl-4-aza-5α-and                         rostan- 1-en-3-one                                          ##STR46##          17β(8-(carbomethoxy)octanoylamido)- 4-methyl-4-az                         a-5α-androst-1-en-3-one 17β(8-(carbomethoxy                         )octanoylamido)- 4-methyl-4-aza-5α-androstan-3-o                         ne                                                          ##STR47##          17β(12-isopropylthio)dodecanoylamido)- 4-methyl-4                         -aza-5α-androst-1-en-3-one 17β(12-isopropyl                         thio)dodecanoylamido)- 4-methyl-4-aza-5α-androst                         an-3-one                                                    ##STR48##          17β(benzenesulfonamidomethyl)-4-methyl- 4-aza-5.a                         lpha.-androst-1-en-3-one 17β(benzenesulfonamidome                         thyl)-4-methyl- 4-aza-5α-androstan-3-one              ##STR49##          17β(6-Bromohexanoylamidomethyl)- 4-methyl-4-aza-5                         α-androst-1-en-3-one 17β(6-Bromohexanoylami                         domethyl)- 4-methyl-4-aza-5α-androstan-3-one          ##STR50##          17β(12-hydroxydodecanoylamidomethyl)- 4-methyl-4-                         aza-5α-androst-1-en-3-one 17β(12-hydroxydod                         ecanoylamidomethyl)- 4-methyl-4-aza-5α-androstan                         -3-one                                                      ##STR51##          4-methyl-17β(2-(4-nitrophenyl)propionamido-                               methyl-4-aza-5α-androst-1-en-3-one 4-methyl-17.b                         eta.(2-(4-nitrophenyl)propionamido- methyl-4-aza-5.alp                         ha.-androstan-3-one                                         ##STR52##          17β(isopropylthioacetamidomethyl)- 4-methyl-4-aza                         5α-androst-1-en-3-one 17β(isopropylthioacet                         amidomethyl)- 4-methyl-4-aza5α-androstan-3-one        ##STR53##          4-methyl-17β(6-thiosulfato)hexanoyl- amidomethyl)                         -4-aza-5α-androstan-3- one 4-methyl-17β(6-t                         hiosulfato)hexanoyl- amidomethyl)-4-aza-5α-andro                         stan-1-en- 3-one                                            ##STR54##          17β(benzoyloxyacetamidomethyl)- 4-methyl-4-aza-5.                         alpha.-androstan-3-one 17β(benzoyloxyacetamidomet                         hyl)- 4-methyl-4-aza-5α-androstan-1-en- 3-one         ##STR55##          17β(carbomethoxyacetamidomethyl)- 4-methyl-4-aza-                         5α-androstan-3-one 17β(carbomethoxyacetamid                         omethyl)- 4-methyl-4-aza-5α-androstan-1-en-                              3-one                                                       ##STR56##          17β(diphenylacetamidomethyl)-4- methyl-4-aza-5.al                         pha.-androstan-3-one 17β(diphenylacetamidomethyl)                         -4- methyl-4-aza-5α-androstan-1-en- 3-one             ##STR57##          4-methyl-17β(3,3,3-triphenypropion- amidomethyl)-                         4-aza-5α-androstan-3- one 4-methyl-17β(3,3,                         3-triphenypropion- amidomethyl)-4-aza-5α-androst                         an-1-en- 3-one                                             __________________________________________________________________________

The following additional compounds may also be prepared according to the procedures described in the instant specification. Unless otherwise specified herein, the 17-substituent is presumed to be in the beta configuration.

17β-(2-Furylacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

17β-(4-Isopropylphenylacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

17β-(Cyclohexylacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

17β-(3-Indolylacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one

4-Methyl-17β-(4-methylcyclohexanecarboxamidomethyl)-4-aza-5α-androstan-3-one;

17β-(4-(3-Indolyl)-butyramidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

17β-(4-Isobutylbenzamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

17β-(Acetoxyacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

17β-(6-Bromohexanoylamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

4-Methyl-20-(4-nitrobenzamidomethyl)-4-aza-5α-pregnan-3-one;

20-((3-Acetamido)benzamido)-4-methyl-4-aza-5α-pregnan-3-one;

20-(3,4-Dimethoxyphenylacetamidomethyl)4-methyl-4-aza-5α-pregnan-3-one;

17β-(4-Ethoxybenzamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

4-Methyl-20-(palmitoylamidomethyl)-4-aza-5α-pregnan-3-one;

17β-(Iminodibenzyl-5-carboxamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

4-Methyl-20-(stearoylamido)-4-aza-5α-pregnan-3-one; 4-Methyl-17β-(3,5-bis-(trifluoromethyl)benzamidomethyl)-4 aza-5α-androstan-3-one;

17β-(3-Cyanobenzamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

20-(Heptafluorobutyramidomethyl)-4-Methyl-4-aza-5α-pregnan-3-one;

20-(4-Benzoylbenzamidomethyl)-4-methyl-4-aza-5α-pregnan-3-one;

17β-(Benztriazol-5-carboxamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

20-(3,5-Difluorobenzamido)-4-methyl-4-aza-5α-pregnan-3-one;

17β-(Bis-(4-isopropyl)phenyl)acetamidomethyl-4-methyl-4-aza-5α-androstan-3-one;

4-Methyl-20-(Salicylamidomethyl)-4-aza-5α-pregnan-3-one;

17β-(Cinnamoylamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

17β-((3-Hydroxy-4,4,4-trichlorobutyramido)methyl)-4-methyl-4-aza-5.alpha.-androstan-3-one;

17-Benzoylamido-5-α-4-methyl-4-azaandrostan-3-one;

17-(2-Thiophenesulfonamido)-5-α-4-methyl-4-azaandrostan-3-one;

4-Methyl-17-(phenylthioacetamido)-5-α-4-methyl-4-azaandrostan-3-one;

4-Methyl-17-(4-methylpentanoylamido)-5-α-4-azaandrostan-3-one;

4-Methyl-17-(3-thenoylamino)-5-α-4-azaandrostan-3-one;

17-(3-(4'-Fluoro-3,5,3'-trimethylbiphen-2-yl)propionamido)-4-methyl-5-.alpha.-4-azaan-drostan-3-one;

17-(6-(Diethylphosphono)hexanoylamino)-4-methyl-5-α-4-azaandrostan-3-one;

17-((t-Butylthio)acetamido)-4-methyl-5-α-4-azaandrostan-3-one;

4-Methyl-17-(3-thiophenacetamido)-5-α-4-azaandrostan-3-one;

4-Methyl-17-(4-nitrobenzamido)-5-α-4-azaandrostan-3-one;

4-Methyl-17-(3-nitrobenzamido)-5-α-4-azaandrostan-3-one;

17-(2-Fluorobenzamido)-4-methyl-5-α-4-azaandrostan-3-one;

17-(4-cyanobenzamido)-4-methyl-5-α-4-zazaandrostan-3-one;

17-(Benzthiophen-3-ylacetamido)-4-methyl-5-α-4-azaandrostan-3-one;

4-Methyl-17-(2-thiophenecarboxamido)-5-α-4-azaandrostan-3-one;

17-(1-Methyl-2-pyrrolecarboxamido)-4-methyl-5-α-4-azaandrostan-3-one;

17-(4-Carboxy-4methylpentanoylamido)-4-methyl-5-α-4-azaandrostan-3-one;

17-(4-Carbomethoxy-4-methylpentanoylamido)-4-methyl-5-α-4-azaandrostan-3-one;

17-(4-Carbomethoxy-3,3-dimethylbutyroylamido)-4-methyl-5-α-4-azaandrostan-3-one;

4-Methyl-17-(3-phenylbutyroylamido)-5-α-4-azaandrostan-3-one;

17-(2,3-Difluorobenzoylamido)-4-methyl-5-α-4-azaandrostan-3-one;

4-Methyl-17-(2-methylbenzoylamido)-5-α-4-azaandrostan-3-one;

17-(2,3-Dimethylbenzamido)-4-methyl-5-α-4-azaandrostan-3-one;

17-Cinnamoylamido-4-methyl-5-α-4-azaandrostan-3-one;

17-(3,3-Dimethylacrylamido)-4-methyl-5-α-4-azaandrostan-3-one;

17-(3,4-Dimethoxybenzamido)-4-methyl-5-α-4-azaandrostan-3-one;

17-(Acetoxylacetamido)-4-methyl-5-α-4-azaandrostan-3-one;

4-Methyl-17-(4-(2-nitrophenoxy)-butyroylamido)-5-α-4-azaandrostan-3-one;

17-Isobutyroylamido-4-methyl-5-α-4-zazaandrostan-3-one;

17-(3,3-Dimethyl-4-(1-(4-isobutylphenyl)ethoxy)benzamido)-4-methyl-5-.alpha.-4-aza-androstan-3-one;

17-(4-Benzyloxybenzamido)-methyl-5-α-4-azaandrostan-3-one;

4-Methyl-17-(3-fluoro-2-methylbenzamido)-5-α-4-azaandrostan-3-one;

4-Methyl-17-(3,5,5,-trimethylhexanoylamino)-5-α-4-azaandrostan-3-one;

17-((Benzylthio)acetamido)-4-methyl-5-α-4-azaandrostan-3-one;

17-(2-Acetoxyisobutyramido)-4-methyl-5α-4-azaandrostan-3-one;

4-Methyl-17-trifluoroacetamido-5-α-4-azaandrostan-3-one;

17-(2-Hydroxyisobutyramido)-4-methyl-5-α-4-azaandrostan-3-one;

17-(Isonicotinoylamino)-4-methyl-5-α-4-azaandrostan-3-one;

17-(t-Butylacetamido)-4-methyl-5-α-4-azaandrostan-3-one;

4-Methyl-17-phenylacetamido-5-α-4-azaandrostan-3-one;

4-Methyl-17-(picolinoylamido)-5-α-4-azaandrostan-3-one;

4-Methyl-17-(nicotinoylamido)-5-α-4-azaandrostan-3-one;

17-(3-((3-Benzamido)phenyl)propionamido)-4-methyl-5-α-4-azaandrostan-3-one;

17-Formamido-4-methyl-5-α-4-azaandrostan-3-one;

17-(2-(Carbomethoxy)-1-cyclopentenylcarboxamido)-4-methyl-5-α-4-azaandrostan-3-one;

17-(2,6-Difluorobenzamido)-4-methyl-5-α-4-azaandrostan-3-one;

17-(2,6-Dichlorobenzamidomethyl)-5-α-4-methyl-4-azaandrosatan-3-one;

17-(3-Nitrobenzoylamidomethyl)-5-α-4-methyl-4-azaandrostan-3-one;

17-(4-Nitrobenzoylamidomethyl)-5-α-4-methyl-4-azaandrostan-3-one;

17-(3,3-Diphenylpropionamidomethyl)-5-α-4-methyl-4-azaandrostan-3-one;

17-((3-(Iminodibenz-5-ylmethyl)benzoyl)aminomethyl)-4-methyl-5-α-4-azaandrostan-3-one;

17-(3-Hydroxy-4,4,4,-trichlorobutyroylamidomethyl))-5-α-4-methyl-4-azaandrostan-3-one;

17-Formamidomethyl-5-α-4-methyl-4-azaandrostan-3-one;

4-Methyl-17-(3,3,3,-triphenylpropionamidomethyl)-5-α-4-azaandrostan-3-one;

20-((Isopropylthio)acetamido)-4-methyl-5-α-4-azapregnan-3-one;

20-((Isopropylthio)acetamido)-5-α-4-azapregnan-3-one;

4-Methyl-17-((phenylthio)acetamidomethyl)-5-α-4-azaandrostan-3-one;

17-((t-Butylthio)acetamidomethyl)-5-α-4-methyl-4-azaandrostan-3-one;

17-(3-Methyl-2-thenoylaminomethyl)-4-methyl-5-α-4-azaandrostan-3-one;

17-(5-Methyl-2-thenoylaminomethyl)-4-methyl-5-α-4-azaandrostan-3-one;

4-Methyl-17-(3-(trifluoromethyl)-benzamidomethyl)-5-α-4-azaandrostan-3-one;

17-Benzamidomethyl-4-methyl-5-α-4-azaandrostan-3-one or

17-(2,3-Difluorobenzamido)-4,7-dimethyl-5-α-4-azaandrostan-3-one.

Also included herein are the 4-N--H (or 4-N--CH₃ if the 4-N--H is specified) analogs of the above specified compounds.

Synthesis of Testosterone 5-α Reductase Inhibitors

Scheme 1 illustrates the synthesis of the intermediate oximes and amines used to produce compounds claimed in the instant invention. ##STR58##

A stirred mixture of 4-methyl-3-oxo-5-α-4-azaandrostan-17-carboxaldehyde; hydroxylamine hydrochloride, anhydrous pyridine, and anhydrous ethanol is refluxed gently under a nitrogen atmosphere for six to seven hours. After cooling, the ice-cooled mixture is diluted, with stirring, with a slight excess of chilled dilute hydrochloric acid. The suspension is then aged for about twenty minutes, filtered, washed with water and dried to give compound 1.

A mixture of the oxime (1), ethanol, glacial acetic acid and water is reduced in the presence of platinum oxide (PtO₂) until chromatographic analysis (TLC) indicates complete reduction to the amine (2). The filtered reaction mixture is concentrated in vacuo; the resultant residue is dissolved in chloroform (CHCl₃) and washed with fresh dilute sodium hydrogen carbonate solution.

The chloroform phase is then dried with sodium sulfate (Na₂ SO₄). Concentration of the resultant CHCl₃ solution followed by trituration of the residue with hexane/ether will yield 2 as a white solid.

The following amines are representative of those obtained from the corresponding carbonyl compounds utilizing the basic procedures described in Scheme 1 for preparation of the oximes and amines: ##STR59##

As Scheme 1 indicates, the oximes useful as intermediates may readily be prepared by reacting a 4-azasteroidal aldehyde or ketone with hydroxylamine hydrochloride to form the corresponding oxime. The resultant oximes are subsequently reduced with hydrogen (H₂) and platinum oxide (PtO₂) or other suitable reducing agent to yield the respective amine. The product amides may be further alkylated with. for example, alkyl halides to give the corresponding R² alkylated compounds. Alternatively, the primary amines may be alkylated by well known synthetic procedures to the corresponding secondary amines and then acylated to the product amides.

Scheme 2 illustrates the synthesis of the compound 4-methyl-17(trimethylacetylamido)-5-α-4 azaandrostan-3-one and is representative of a basic synthesis of compounds claimed in the instant invention in which an amine is reacted with an acylating agent (or acid equivalent). These reagents include acyl halides and acid anhydrides. ##STR60##

To a stirred, ice-cold solution of IV, anhydrous methylene chloride and pyridine is added trimethylacetychloride dropwise over approximately one minute under a nitrogen atmosphere. After an additional fifteen minutes at ice-bath temperatures, the mixture is allowed to warm to room temperature (25° C.) and stirred for an additional fourteen hours. The mixture is then transferred to a separatory funnel with additional CH₂ Cl₂, washed with dilute (0.3N) HCl, dried (Na₂ SO₄), concentrated and recrystallized (ethyl acetate) to yield 10 as a white solid.

As Scheme 2 illustrates, 4-azasteroidal primary or secondary amines described in the instant invention are reacted with the desired activated carbonyl compound, such as trimethylacetyl chloride, to yield the target amide. Representative acyl halides or acid anhydrides of the formula: ##STR61## wherein R³ may generally be:

C₁₋₂₀ alkyl,

aryl,

heteroaryl,

arylC₁₋₂₀ alkyl,

heteroarylC₁₋₂₀ alkyl,

C₁₋₂₀ alkylarylC₁₋₂₀ alkyl,

C₁₋₂₀ alkyloxycarbonylalkyl,

C₁₋₂₀ alkylcarbonylC₁₋₂₀ alkyl,

C₁₋₂₀ cycloalkylC₁₋₂₀ alkyl,

arylC₁₋₂₀ alkyloxycarbonylC₁₋₂₀ alkyl,

haloC₁₋₂₀ alkyl,

arylC₁₋₂₀ alkyloxyC₁₋₂₀ alkyl,

diarylC₁₋₂₀ alkyl,

triarylC₁₋₂₀ alkyl,

C₂₋₂₀ alkenyl,

C₂₋₂₀ alkenylC₁₋₂₀ alkyl,

C₂₋₂₀ alkynylC₁₋₂₀ alkyl,

arylC₂₋₂₀ alkynylC₁₋₂₀ alkyl,

heteroarylC₂₋₂₀ alkylnylC₁₋₂₀ alkyl,

or arylC₂₋₂₀ alkenyl may be used in the instant invention.

R³ is also as specifically described in the examples section of the present application. R³ may be, for example, t-butyl; 2,2-diphenylethyl,3-thienyl, 2-thienyl, -11-(isopropylthio)undecyl, -7-(carbomethoxy)heptyl, 1-(1-(4-isobutylphenyl-)ethyl, -7-(carboxy)heptyl, -acetylmethyl, -1-adamantylmethyl, -2-thienylmethyl, -2-(carbobenzyloxy)ethyl, -3,4-dimethoxyphenyl, -phenyl, -5-bromopentyl, phenylthiomethyl, -t-butylthiomethyl, -3-methyl-2-thienyl, 5-methyl-2-thienyl, -11-hydroxyundecyl, -1-(4-nitrophenyl)ethyl,-isopropylthiomethyl, 5-(thiosulfato)pentyl-benzyloxymethyl, carbomethoxymethyl, diphenylmethyl, triphenylmethyl, -2-furyl, 4-isopropylphenyl, cyclohexylmethyl, 4-methylcyclohexyl, 3-(3-indolyl)propyl, 3-Indolylmethyl, 4-isobutylphenyl, 4-nitrophenyl, 3-nitrophenyl, 3-acetamidomethyl, 4-ethoxyphenyl, hexadecyl, stearyl, 3,5-Bis(trifluoromethyl)benzyl, 3-cyanophenyl, heptafluoropropyl, 4-benzoylphenyl, 5-benztriazolyl, 3,5-difourophenyl, bis(4-isopropylphenyl)methyl, 2-hydroxyphenyl, phenylvinyl, 2-hydroxy-3,3,3-trichloropropyl, methyl, allyl, n-propyl, n-octyl, isopropyl, (isopropylthio)methyl, isobutyl, ethyl; 2,2,2-triphenylethyl, benzyl, octadecyl, 2(ethyl)phenyl, 3(chloro)phenyl, 4(methyl)phenyl, 2,3(dichloro)phenyl, 2,6(dichloro)phenyl, 4(fluoro)phenyl, 3(methoxy)phenyl, 3-(acetamido)phenyl, 3-(Iminodibenz-5-ylmethyl)phenyl, 3-trifluoromethylphenyl, 2(ethoxy)phenyl, formyl, 2-napthyl, or 2-thiazolyl. Each of the acid chlorides having the above R³ groups are readily available from, for example, Aldrich Chemical Company or may readily be prepared from the corresponding acid.

Acyl halides or activated carbonyl compounds disclosed in this invention are commercially available or may be prepared from the corresponding carboxylic acid and thionyl chloride (SOCl₂), phosphorous pentahalide (PX₅), or phosphorous trihalide (PX₃). See Ansell in Patai, "The Chemistry of Acyl Halides", 35-48, Interscience, New York (1972).

The primary or secondary amines disclosed in the instant invention may also be reacted with alkyl and aryl sulfonyl halides or anhydrides to yield compounds claimed in the instant invention.

If a sulfonylhalide or anhydride of the formula ##STR62## is used, R³ may equal the groups defined above for the carbonyl species.

Amides or sulfonamides representative of those obtained from the corresponding amines utilizing the basic procedure described in Scheme 2 by substituting either the amine or the activated carbonyl compound may be prepared. For example, compound 6 may be substituted for compound 4 in Scheme 2 and reacted with the indicated acylating agent (trimethylacetyl chloride) to yield compound 11 (4-methyl-20-(trimethylacetamido)-5-α-4-azapregnan-3-one). If compound 2 is reacted with 8-(carbomethoxy)octnoyl chloride using the procedure described in Scheme 2, (17-(8-(Carbomethoxy)-octnoylamidomethyl)-4-methyl-5-α-4-aza-androstan-3-one)is produced: ##STR63##

If a sulfonyl halide, for example, thiophene-2-sulfonylchloride, is substituted for an acyl halide and reacted with an amine such as 2, (4-methyl-17-(2-thiophenesulfonylamidomethyl)-5-α-4-azaandrostan-4-one) may be prepared: ##STR64##

Scheme 3 illustrates the synthesis of 176β-(12-(Isopropylthio)dodecanoylamidomethyl)-4-methyl-5α-aza-androstan-3-one (14): ##STR65## DCC is a well known coupling reagent used in peptide synthesis to generate amide bonds from a free acid and an amine. Coupling reagents may generally be used when the free acid is readily available or when the alternative acid halide is internally labile (e.g., when a thio group is present). An intermediate anhydride of the acid is generated which futher reacts with the amine. In Scheme 3, 12-(isopropylthio)-dodecanoic acid is reacted with 2, DCC, and DMAP to produce the corresponding amide (14). For example, DCC is used when R³ is C₁₋₂₀ alkylthioC₁₋₂₀ alkyl or hydroxylC₁₋₂₀ alkyl.

Additionally, dehydrogenation of the 1,2 position or the 5,6 position may readily be accomplished by known synthetic methodology to produce the claimed 1-en or 5-en derivatives. See U.S. Pat No. 5,061,802; Dolling et al., JACS, 110, 3318-19 (1988).

Schemes 4, 5 and 6 further illustrate how compounds claimed in the instant invention may be prepared. In Scheme 4, the staring 4-azasteroid aldehyde or ketone (XV), obtained by known synthetic methods, is reacted to form the oxime (XVI); reduced to the amine (XVII) and reacted with an activated carbonyl or sulfonyl compound and, optionally, an alkylhalide (X-R²) to form XVIII. Of ##STR66## In Scheme 5, the identical procedure is followed using a generic 4-azasteroid (XIX) prepared by known synthetic methods to produce the oxime (XX) which is reduced to the amine (XXI) and reacted with an activated corbonyl or sulfonyl compound (X-W-R³) to yield (XXII). ##STR67## In Scheme 6, the generic 4-azasteroid XXIII, also obtained from well known synthetic methodology, is reacted to form the oxime XXIV which is further reduced to form XXV and subsequently reacted with an activated carbonyl or sulfonyl compound to form XXVI. ##STR68##

The starting 4-azasteroidal ketones used in the present invention may be prepared according to the well known basic procedures described in Scheme 7. ##STR69##

The following examples further describe the synthesis of compounds claimed in the instant invention.

Synthesis of Starting -4-azasteroid oximes EXAMPLE 1

4-Methyl-3-oxo-5-α-4-azaandrostan-17-carboxaldehyde oxime

A stirred mixture of 4-methyl-3-oxo-5-a-4-azaandrostan-17-carboxaldehyde (0.952 g, 3.0 mM), hydroxylamine hydrochloride (1.10 g, 15.8 mM), anhydrous pyridine (6 mL), and anhydrous ethanol (12 mL) was refluxed gently under a nitrogen atmosphere for 6.3 hours. After cooling, the ice-cooled mixture was diluted, with stirring, with a slight excess of chilled dilute hydrochloric acid (ca. 0.3N), the suspension was aged for ca. 20 minutes, filtered, washed with water and dried to give (1) 0.855 g. MS M⁺ calcd for C₂₀ H₃₂ H₂ O₂ 332.48. observed m/e 332.

Synthesis of Reactant 4-azasteroid Amines EXAMPLES 2-9

2) 17-Aminomethyl-4-methyl-5-α-4-azaandrostan-3-one.

A mixture of (1) (0.67 g,., 2.0 mM), ethanol (100 mL), glacial acetic acid (8 mL) and water (4 mL) was reduced in a hydrogen atmosphere (40 p.s.i.) at room temperature in the presence of PtO₂ until TLC analysis indicated complete reduction. The filtered reaction mixture was concentrated in vacuo, the residue taken up in chloroform, and the chloroform solution washed with fresh dilute sodium hydrogen carbonate solution and dried (Na₂ SO₄). Concentration of the filtered chloroform solution followed by trituration of the residue obtained with hexane containing a small amount of ether yielded (2) as an off-white solid. MS MH⁺ calcd for C₂₀ H₃₄ N₂ O318.49, observed m/e 319.

The following amines are representative of those obtained from the corresponding carbonyl compounds utilizing the above procedures:

3) 17-Aminomethyl-5-α-4-azaandrostan-3-one.

4) 17-Amino-4-methyl-5-α-4-azaandrostan-3-one.

5) 17-Amino-5-α-4-azaandrostan-3-one.

6) 20-Amino-4-methyl-5-α-4-azapregnan-3-one.

7) 20-Amino-5-α-4-azapregnan-3-one.

8) 20-(Aminomethyl)-4-methyl-5-α-4-azapregnan-3-one.

9) 20-(Aminomethyl)-5-α-4-azapregnan-3-one.

Synthesis of Amino substituted azasteroids EXAMPLES 10-14

10) 4-Methyl-17β-(trimethylacetamido)-5-α-4-azaandrostan-3-one

To a stirred, ice-cold solution of (4) (0.091 g, 0.3 mM), anhydrous methylene chloride (5 mL), and pyridine (0.1 mL, 1.2 mM), was added trimethylacetyl chloride (0.05 mL, 0.4 mm) dropwise over ca. one minute (nitrogen atmosphere). After an additional 15 min. at ice-bath temperatures the mixture was allowed to warm to room temperature and stir at ambient temperature overnight. The mixture was then transferred to a separatory funnel with additional methylene chloride, washed with dilute (ca. 0.3N) hydrochloric acid, and dried (Na₂ SO₄). Concentration of the filtered solution followed by recrystallization (ethyl acetate) of the residue obtained gave (10) as a whim solid. MS M⁺ calcd for C₂₄ H₄₀ N₂ O₂ 388.59, observed m/e 388.

11) 4-Methyl-20-(trimethylacetamido)-5-α-4-azapregnan-3-one.

When (4) in the above reaction was replaced by (6), (11) was obtained as a white solid. MS M⁺ calcd for C₂₆ H₄₄ H₂ O₂ 416.65, observed m/e 416.

12) 17β-(8-(Carbomethoxy)octanoylamidomethyl)-4-methyl-5-α-4-azaandrostan-3-one.

When (2) was reacted with 8-carbomethoxy-octanoyl chloride using the conditions of Example (10), (12) was obtained as a thick oil. MS M⁺ calcd for C₃₀ H₅₀ N₂ O₄ 502.74, observed m/e 502.

13) 4-Methyl-17β-(2-thiophenesulfonylamidomethyl)-5-α-4-azaandrostan-3-one.

When the 8-carbomethoxyoctnoyl chloride in the above example was replaced with 2-thiophene-sulfonyl chloride, (13) was obtained as a white solid. MS M⁺ calcd for C₂₄ H₃₆ N₂ O₃ S₂ 464.68, observed m/e 464.

14) 17β-(12-(Isopropylthio)dodecanoylamidomethyl)-4-methyl-5-α-4-aza-androstan-3-one.

To a stirred solution of (2) (0.028 g, 0.09 mM) and 12-(isopropylthio)dodecanoic acid (0.025 g, 0.09 mM) (prepared from 12-bromododecanoic acid and sodium isopropylthiolate by heating in 1.2-(dimeth-oxyethane) in methylene chloride (3 mL) was added 4-(dimethylamino)-pyridine (0.011 g, 0.09 mM) followed by a solution of N,N'-dicyclohexylcarbodiimide (0.020 g, o.097 mM) in a minimum of the same solvent. After stirring for 12-14 hours, the mixture was filtered and the filtrate concentrated in vacuo. Flash chromatography (silica gel, ethyl acetate as eluant) yielded (14) as a very thick oil. MS MH⁺ calcd for C₃₅ H₆₂ N₂ O₂ S 574.95, observed m/e 575.

Examples 15-38 in the following list are prepared according to the basic procedures described above to further exemplify the invention.

15) 4-Methyl-17β(trimethylacetamidomethyl)-4-aza-5α-androstan-3-one;

16) 17β(Acetamido)-4-methyl-4-aza-5α-androstan-3-one;

17) 4-Methyl-17β(2-thiophenecarboxamidomethyl)-4-aza-5α-androstan-3-one;

18) 17β(2-(4-Isobutylphenyl)propionamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

19) 17β(8-Carboxyoctnoylamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

20) 17β(Acetoacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

21) 17β(1-Adamantylacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

22) 4-Methyl-17β(2-thiopheneacetamidomethyl)-4-aza-5α-androstan-3-one;

23) 17β(12-(t-Butylthio)dodecanoylamido)-4-methyl-4-aza-5α-androstan-3-one;

24) 17β(3-(Carbobenzyloxy)propionamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

25) 17β(3,4-Dimethoxyphenylacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

26) 17β(8-(Carbomethoxy)octnoylamido)-4-methyl-4-aza-5α-androstan-3-one;

27) 17β(Isopropylthiododecanoylamido)-4-methyl-4-aza-5 α-androstan-3-one;

28) 17β(Benzenesulfonamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

29) 17β(6-Bromohexanoxylamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

30) 17β(12-Hydroxydodecanoylamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

31) 4-Methyl-17β(2-(4-nitrophenyl)propionamido-methyl)-4-aza-5α-androstan-3-one,

32) 17β(Isopropylthioacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

33) 4-Methyl-17β(6-(thiosulfato)hexanoylamidomethyl)-4-aza-5α-androstan-3-one;

34) 17β(Benzyloxyacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

35) 17β(Carbomethoxyacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

36) 17β(Diphenylacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one;

37) 4-Methyl-17β(3,3,3-triphenylpropion amidomethyl)-4-aza-5α-androstan-3-one;

38) 4-Methyl-17β(3-thiophenecarboxamido)-4-aza-5α-androstan-3-one.

In addition to the above compounds, the following compounds were also prepared according to the basic procedures described in the specification:

39) 17-(2,6-Dichlorobenzamidomethyl)-5α-4-methyl-4-azaandrosatan-3-one.

40) 17-(3-Nitrobenzoylamidomethyl)-5-α-4-methyl-4-azaandrostan-3-one.

41) 17-(4-Nitrobenzoylamidomethyl)-5-α4-methyl-4-azaandrostan-3-one.

42) 17-(3,3-Diphenylpropionamidomethyl)-5-α-4-methyl-4-azaandrostan-3-one.

43) 17-Benzoylamido-5-α-4-methyl-4-azaandrostan-3-one.

44) 17-(2-Thiophenesulfonamido)-5-α-4-methyl-4-azaandrostan-3-one.

45) 17-((3-(Iminodibenz-5-ylmethyl)benzoyl)aminomethyl )-4-methyl-5-α-4-azaandrostan-3-one.

46) 17-(3-Hydroxy-4,4,4,-trichlorobutyroylamidomethyl))-5-α-4-methyl-4-azaandrostan-3-one.

47) 17-Formamidomethyl-5-α-4-methyl-4-azaandrostan-3-one.

48) 4-Methyl-17-(3,3,3,-triphenylpropionamidomethyl)-5-α-4-azaandrostan-3-one.

49) 4-Methyl-17-(phenylthioacetamido)-5-α-4-methyl-4-azaandrostan-3-one.

50) 4-Methyl-17-(4-methylpentanoylamido)-5-α-4-azaandrostan-3-one.

51) 20-((Isopropylthio)acetamido)-4-methyl-5-α-4-azapregnan-3-one.

52) 20-((Isopropylthio)acetamido)-5-α-4-azapregnan-3-one.

53) 4-Methyl-17-(3-thenoylamino)-5-α-4-azaandrostan-3-one.

54) 4-Methyl-17-((phenylthio)acetamidomethyl)-5-α-4-azaandrostan-3-one.

55) 17-(3-(4'-Fluoro-3,5,3'-trimethylbiphen-2-yl)propionamido)-4-methyl-5-.alpha.-4-azaan-drostan-3one.

56) 17-(6-(Diethylphosphono)hexanoylamino)-4-methyl-5-α-4-azaandrostan-3-one.

57) 17-((t-Butylthio)acetamidomethyl)-5-α-4-methyl-4-azaandrostan-3-one.

58) 17-(3-Methyl-2-thenoylaminomethyl)-4-methyl-5-α-4-azaandrostan-3-one.

59) 17-((t-Butylthio)acetamido)-4-methyl-5-α-4-azaandrostan-3-one.

60) 17-(5-Methyl-2-thenoylaminomethyl)-4-methyl-5-α-4-azaandrostan-3-one.

61) 4-Methyl-17-(3-(trifluoromethyl)-benzamidomethyl)-5-α-4-azaandrostan-3-one.

62) 17-Benzamidomethyl-4-methyl-5α-4-azaandrostan-3-one.

63) 4-Methyl-17-(3-thiophenacetamido)-5-α-4-azaandrostan-3-one.

64) 4-Methyl-17-(4-nitrobenzamido)-5-α-4-azaandrostan-3-one.

65) 4-Methyl-17-(3-nitrobenzamido)-5α-4-azaandrostan-3-one.

66) 17-(2-Fluorobenzamido)-4-methyl-5-α-4-azaandrostan-3-one.

67) 17-(4-cyanobenzamido)-4-methyl-5-α-4-zazaandrostan-3-one.

68) 17-(Benzthiophen-3-ylacetamido)-4-methyl-5-α-4-azaandrostan-3-one.

69) 4-Methyl-17-(2-thiophenecarboxamido)-5-α-4-azaandrostan-3-one.

70) 17-(1-Methyl-2-pyrrolecarboxamido)-4-methyl-5-α-4-azaandrostan-3-one.

71) 17-(4-Carboxy-4methylpentanoylamido)-4-methyl-5α-4-azaandrostan-3-one.

72) 17-(4-Carbomethoxy-4-methylpentanoylamido)-4-methyl--α-4-azaandrostan-3-one.

73) 17-(4-Carbomethoxy-3,3-dimethylbutyroylamido)-4-methyl-5-α4-azaandrostan-3-one.

74) 4-Methyl-17-(3-phenylbutyroylamido)-5-α-4-azaandrostan-3-one.

75) 17-(2,3-Difiuorobenzoylamido)-4-methyl-5-α-4-azaandrostan-3-one.

76) 4-Methyl-17-(2-methylbenzoylamido)-5-α-4-azaandrostan-3-one.

77) 17-(2,3-Dimethylbenzamido)-4-methyl-5-α-4-azaandrostan-3-one.

78) 17-Cinnamoylamido-4-methyl-5-α-4-azaandrostan-3-one.

79) 7-(3,3-Dimethylacrylamido)-4-methyl-5-α-4-azaandrostan-3-one.

80) 17-(3,4-Dimethoxybenzamido)-4-methyl-5-α-4-azaandrostan-3-one.

81) 17-(Acetoxylacetamido)-4-methyl-5-α-4-azaandrostan-3-one.

82) 4-Methyl-17-(4-(2-nitrophenoxy)-butyroylamido)-5-α-4-azaandrostan-3-one.

83) 17-Isobutyroylamido-4-methyl-5-α-4-zazaandrostan-3-one.

84) 17-(3,3-Dimethyl-4-(1-(4-isobutylphenyl)ethoxy)benzamido)-4-methyl-5-.alpha.-4-aza-androstan-3-one.

85) 17-(4-Benzyloxybenzamido)-methyl-5-α-4-azaandrostan-3-one.

86) 4-Methyl-17-(3-fluoro-2-methylbenzamido)-5-α-4-azaandrostan-3-one.

87) 4-Methyl-17-(3,5,5,-trimethylhexanoylamino)-5-α-4-azaandrostan-3-one.

88) 17-((Benzylthio)acetamido)-4-methyl-5-α-4-azaandrostan-3-one.

89) 17-(2-Acetoxyisobutyramido)-4-methyl-5-α-4-azaandrostan-3-one.

90) 4-Methyl-17-trifluoroacetamido-5-α-4-azaandrostan-3-one.

91) 17-(2-Hydroxyisobutyramido)-4-methyl-5-α-4-azaandrostan-3-one.

92) 17-(Isonicotinoylamino)-4-methyl-5-α-4-azaandrostan-3-3-one.

93) 17-(t-Butylacetamido)-4-methyl-5-α-4-azaandrostan-3-one.

94) 4-Methyl-17-phenylacetamido-5-α-4-azaandrostan-3-one.

95) 4-Methyl-17-(picolinoylamido)-5-α-4-azaandrostan-3-one.

96) 4-Methyl-17-(nicotinoylamido)-5-α-4-azaandrostan-3-one.

97) 17-(3-((3-Benzamido)phenyl)propionamido)-4-methyl-5-α-4-azaandrostan-3-one.

98) 17-Formamido-4-methyl-5-α-4-azaandrostan-3-one.

99) 17-(2-(Carbomethoxy)-1-cyclopentenylcarboxamido)-4-methyl-5-α-4-azaandrostan-3-one.

100) 17-(2,6-Difluorobenzamido)-4-methyl-5-α-4-azaandrostan-3-one.

101) 17-(2,3-Difluorobenzamido)-4,7-dimethyl-5-α-4-azaandrostan-3-one.

Table 2 illustrates the NMR data of some of the above examples.

                  TABLE 2                                                          ______________________________________                                         NMR DATA (PPM)                                                                 Example                                                                               Angular Methyls Miscellaneous                                           ______________________________________                                         10     0.68, 0.88      1.20 (--NHCOC(CH.sub.3).sub.3)                          11     0.72, 0.88      1.17 (--NHCOC(CH.sub.3).sub.3)                          12     0.67, 0.89      3.66 (--CO.sub.2 CH.sub.3)                              13     0.61, 0.88      2.93 (-4-NCH.sub.3)                                     14     0.67, 0.89      1.24 (--SCH(CH.sub.3).sub.2)                                                   1.28                                                    15     0.67, 0.88      1.18 (--NHCOC(CH.sub.3).sub.3)                          16     0.70, 0.88      1.98 (--NHCOCH.sub.3)                                   17     0.72, 0.89      2.93 (-4-NCH.sub.3)                                     18     0.57, 0.85      2.91 (-4-NCH.sub.3)                                                            (split)                                                 19     0.66, 0.88      2.92 (-4-NCH.sub.3)                                     20     0.64, 0.88      2.24 (--COCH.sub.3)                                     21     0.66, 0.88      2.93 (-4-NCH.sub.3)                                     22     0.61, 0.87      3.78 (--COCH.sub.2 --(C.sub.4 H.sub.3 S))               23     0.70, 0.89      1.33 (--SC(CH.sub.3).sub.3)                             24     0.64, 0.88      5.12 (--CO.sub.2 CH.sub.2 Ph)                           25     0.60, 0.88      3.52(d) (--Ph--(OCH.sub.3).sub.2)                       26     0.70, 0.89      3.66 (--CO.sub.2 CH.sub.3)                              27     0.70, 0.89      1.24 (--SCH(CH.sub.3).sub.2)                                                   1.28                                                    28     0.57, 0.87      2.91 (-4-NCH.sub.3)                                     29     0.67, 0.88      2.92 (-4-NCH.sub.3)                                     30     0.66, 0.88      2.92 (-4-NCH.sub.3)                                     31     0.61, 0.86      2.92 (-4-NCH.sub.3)                                                            (split)                                                 32     0.68, 0.88      1.24 (--SCH(CH.sub.3).sub.2)                                                   1.28                                                    33     0.67, 0.89      2.93 (-4-NCH.sub.3)                                     34     0.65, 0.88      4.56 (--OCH.sub.2 Ph)                                   35     0.68, 0.89      3.75 (--CO.sub.2 CH.sub.3)                              36     0.60, 0.86      4.92 (--COCH(Ph).sub.2)                                 ______________________________________                                    

Also included with the scope of this invention are 4-N-X analogs where X is OH, NH₂ or SCH₃. The 4-N--OH and 4-N--NH₂ derivatives can be made by incorporating hydroxylamine or hydrazine, respectively, in place of methylamine in the seco acid ring A closure for the starting androstanes herein as described in J. Med Chem. 29, 2298-2315 1986) by Rasmusson et al. Further, reaction of the anion of the saturated 4-N--H androstanes, wherein the anion is generated from the 4-NH precursor by sodium hydride and methylsulfenyl chloride can produce the corresponding 4-N-5-CH₃ derivative. Thus, substituent R on the 4-N position also includes OH, NH₂ and S--CH₃.

The above examples are non-limiting and suitable acylating agents may readily be substituted according to the methods described in the present invention and reacted with a described amine to form the claimed amides. The following definitions further clarify the present invention.

The Rf values cited were carried out on standard thin layer chromatographic Si gel plates. The elution solvent system used is given in the parentheses following the Rf value.

The mass spectral values are given either as FAB, i.e., fast atom bombardment, or electron impact (EI) and are reported as molecular ion peaks, being (M), (M+1) or (M+2), the molecular weight, MW, or the MW plus one or two atomic units.

The nuclear magnetic resonance data was taken at 200 or 400 MHz in CDCl₃ and is tabulated for unique proton values of each compound at the end of the Examples. The coupling constant J is given in Hertz, Hz.

The invention further relates to all stereoisomers, diastereomers or enantiomers of the compounds depicted.

The term "pharmaceutically acceptable salts" shall mean non-toxic salts of the compounds of this invention which are generally prepared by the free base with a suitable organic or inorganic acid. Representative salts include the following salts: Acetate, adipate, alginate, aspartate benzenesulfonate, benzoate, bicarbonate, bisulfate borate, butyrate, camsylate, carbonate, camphorate, chloride, citrate, digluconate, fumarate, glucoheptanate, gluconate, glutamate, glycerophosphate, hydrobromide, hydrochloride, hydroiodide, lactate, laurate, malate, maleate, mandelate, mesylate, methylbromide, methylnitrate, methylsulfate, mucate, napsylate, nitrate, oleate, oxalate.

The term "pharmaceutically effective amount" shall mean that amount or quantity of a drug or pharmaceutical agent that will elicit the biological or medical response of a tissue, system or animal that is being sought by a researcher or clinician or physician.

The term "aryl" shall mean a mono- or polycyclic system composed of 6-membered aromatic rings either unsubstituted or substituted with R wherein R is defined to include H, C₁₋₆ alkyl, arylC₁₋₂₀ alkyl wherein the alkyl groups are unsubstituted or substituted with C₁₋₈ alkyloxy, carboxyC₀₋₁₀ alkyl, hydroxy, or halogen. The term "aryl" also encompasses those aromatic systems which independently have hydroxyl, C₁₋₁₀ alkyl, C₂₋₂₀ alkenyl, C₁₋₂₀ alkyloxy, haloC₁₋₂₀ alkyl, benzoyl, cyano, nitro, carboxamide, acetamido and halogens directly bonded to the aromatic carbon atom(s) or as further defined in the specification. The term aryl clearly includes unsubstituted or substituted with R as defined above phenyl, napthyl, anthracenyl of C₆₋₁₄ carbon atoms and/or biphenyl.

The term "heteroaryl" shall mean a mono- or polycyclic system composed of 5- and 6-membered aromatic rings containing 1,2,3 or four heteroatoms chosen from N, O, or S and either unsubstituted or substituted with R as defined above independently or with hydroxyl, C₁₋₂₀ alkyloxy, C₁₋₂₀ alkyl, C₂₋₂₀ alkenyl, haloC₁₋₂₀ alkyl, benzoyl, cyano, nitro, carboamide, acetamide and halogens directly bonded to the aromatic carbon atom(s). The term heteroaryl is further defined to include heterocyclic species such as 5-7-membered monocyclic rings which are either saturated or unsaturated, and which consists of carbon atoms and from one to three heteroatoms selected from the group consisting of N, O and S, and wherein the nitrogen and sulfur heteroatoms may optionally be oxidized, and the nitrogen heteroatom may optionally be quaternized, and including any bicyclic group in which any of the above-defined heterocyclic rings is fused to a benzene ring so that a portion of the molecule is aromatic. Examples of heterocyclic species or elements include piperidinyl, piperazinyl, 2-oxopiperazinyl, 2-oxopiperidinyl, 2-oxopyrrolodinyl, 2-oxoazepinyl, azepinyl, pyrrolyl, 4-piperidonyl, pyrrolidinyl, pyrazolyl, pyrazolidinyl, imidazolyl, imidazolinyl, imidazolidinyl, pyridyl, pyrazinyl, pyrinidinyl, pyridazinyl, oxazolyl, oxazolidinyl, isoxazolyl, isoxazolidinyl, morpholinyl, thiazolyl, thiazolidinyl, isothiazolyl, quinuclidinyl, isothiszolidinyl, indolyl, quinolinyl, isoquinolinyl, iminodibenzyl, benzimidazolyl, thiadiazolyl, thienyl, benzopyranyl, benzothiazolyl, benzoxazolyl, furyl, tetrahydrofuryl, tetrahydropyranyl, thienyl, benzothienyl, thiamorpholinyl, thiamorpholinyl sulfoxide, thiamorpholinyl sulfone, and oxadiazolyl. Preferred embodiments clearly include those heteroaryl and heterocyclic species depicted in the specific examples.

The termn "alkyl" shall mean straigth or branched chain alkene.

The term "alkenyl" shall mean straigth or branched chain alkene.

The term "alkynyl" shall mean straigth or branched chain alkyne.

The term "cycloalkyl" shall mean cycloalkyl groups of C₃₋₂₀ carbon atoms unsubstituted or substituted with typical cycloalkyl substituents such as those shown in the specific examples herein.

The term "cycloalkenyl" shall mean cycloalkenyl groups of C₃₋₂₀ carbon atoms having one or more double bonds unsubstituted or substituted with typical cylcoalkenyl substituents such as those shown in the specific examples herein.

The term "arylalkyl" shall be taken to include an aryl portion as defined above and an alkyl portion as defined above.

The term "heteroarylalkyl" shall mean an heteroaryl portion as defined above and an alkyl portion as defined above.

The "C_(1-n) " designation where n may be an integer from 1 to 20 or 3-20 respectively refers to the alkyl portion, the cycloalkyl portion or to the alkyl portion of an arylalkyl or heteroarylalkyl unit. In addition, it refers to alkenyl, aryl or alkynyl substituents.

The term "halogen" shall include fluorine, chlorine, iodine and bromine.

The term "oxy" shall mean an oxygen (O) atom.

The term "thio" shall mean a sulfur atom.

In the schemes and examples described in this disclosure, various reagent symbols have the following meanings:

PtO₂ is platinum oxide

TLC is thin layer chromatography

Na₂ SO₄ is sodium sulfate

DMAP is 4-(dimethylamino)pyridine

DCC is N,N'-dicyclohexylcarbodiimide

The present invention has the objective of providing suitable topical, oral and parenteral pharmaceutical formulations for use in the novel methods of treatment of the present invention.

The compositions containing the compounds of the present invention as the active ingredient for use in the treatment of e.g., benign prostatic hypertrophy, prostatitis, and treatment of prostatic carcinoma, hyperandrogenic conditions, can be administered in a wide variety of therapeutic dosage forms in conventional vehicles for systemic administration, as, for example, by oral administration in the form of tables, capsules, solutions, or suspensions, or by injection. The daily dosage of the products may be varied over a wide range varying from 0.5 to 1,000 mg per adult human/per day. The compositions are preferably provided in the form of scored tablets containing 0.5,1.0,2.5,5.0,10.0,15.0,25.0, and 50.0 milligrams of the active ingredient for the symptomatic adjustment of the dosage to the patient to be treated. An effective amount of the drug is ordinarily supplied at a dosage level of from about 0.002 mg. to about 50 mg./kg. of body weight per day. Preferably the range is from about 0.01 mg. to 7 mg./kgs. of body weight per day. These dosages are well below the toxic dose of the product. For the treatment of androgenic alopecia, acne vulgaris, seborrhea, female hirsutism, the compounds of the present invention are administered in a pharmaceutical composition comprising the active compound in combination with a pharmacologically acceptable carrier adapted for topical, oral or parenteral administration.

These topical pharmaceutical compositions may be in the form of a cream, ointment, gel or aerosol formulation adapted for application to the skin. These topical pharmaceutical compositions containing the compounds of the present invention ordinarily include about 0.1% to 15%, preferably about 5%, of the active compound, in admixture with about 95% of vehicle.

The compounds of the present invention can be administered in such oral dosage forms as tablets, capsules (each including timed release and sustained release formulations), pills, powders, granules, elixers, tinctures, suspensions, syrups and emulsions. Likewise, they may also be administered in intravenous (both bolus and infusion), intraperitoneal, subcutaneous or intramuscular form, all using forms well known to those of ordinary skill in the pharmaceutical arts. An effective but non-toxic amount of the compound desired can be employed as a 5 α-reductase agent.

The dosage regimen utilizing the compounds of the present invention is selected in accordance with a variety of factors including type, species, age, weight, sex and medical condition of the patient; the severity of the condition to be treated; the route of administration; the renal and hepatic function of the patient; and the particular compound or salt thereof employed. An ordinarily skilled physician or veterinarian can readily determine and prescribe the effective amount of the drug required to prevent, counter or arrest the progress of the condition. Optimal precision in achieving concentration of drug within the range that yields efficacy without toxicity requires a regimen based on the kinetics of the drug's availability to target sites. This involves a consideration of the distribution, equilibrium, and elimination of a drug.

Oral dosages of the present invention, when used for the indicated effects, will range between about Advantageously, compounds of the present invention may be administered in a single daily dose, or the total daily desage may be administered in divided doses of two, three or four times daily. Furthermore, preferred compounds for the present invention can be administered in intranasal form via topical use of suitable intranasal vehicles, or via transdermal routes, using those forms of transdermal skin patches well known to those of ordinary skill in that art. To be administered in the form of a transdermal delivery system, the dosage administration will, of course, be continuous rather than intermitrant throughout the dosage regimen.

In the methods of the present invention, the compounds herein described in detail can form the active ingredient, and are typically administered in admixture with suitable pharmaceutical diluents, excipients or carders (collectively referred to herein as "carrier" materials) suitably selected with respect to the intended form of administration, that is, oral tablets, capsules, elixirs, syrups and the like, and consistent with conventional pharmaceutical practices.

For instance, for oral administration in the form of a tablet or capsule, the active drug component can be combined with an oral, non-toxic pharmaceutically acceptable inert carrier such as ethanol, glycerol, water and the like. Moreover, when desired or necessary, suitable binders, lubricants, disintegrating agents and coloring agents can also be incorporated into the mixture. Suitable binders include starch, gelatin, natural sugars such as glucose or beta-lactose, corn sweeteners, natural and synthetic gums such as acacia, tragacanth or sodium alginate, carboxymethylcellulose, polyethylene glycol, waxes and the like. Lubricants used in these dosage forms include sodium oleate, sodium stearate, magnesium stearate, sodium benzoate, sodium acetate, sodium chloride and the like. Disintegrators include, without limitation, starch, methyl cellulose, agar, bentonite, zanthan gum and the like.

The compounds of the present invention can also be administered in the form of liposome delivery systems, such as small unilamellar vesicles, large unilamellar vesicles and multilamellar vesicles. Liposomes can be formed from a variety of phospholipids, such as cholesterol, stearylamine or phosphatidylcholines.

Compounds of the present invention may also be delivered by the use of monoclonal antibodies as individual carriers to which the compound molecules are coupled. The compounds of the present invention may also be coupled with soluble polymers as targetable drug carriers. Such polymers can include polyvinylpyrrolidone, pyran copolymer, polyhydroxypropyl- methacrylamide-phenol, polyhydroxyethylaspartamidephenol, or polyethyleneoxidepolylysine substituted with palmitoyl residues. Furthermore, the compounds of the present invention may be coupled to a class of biodegradable polymers useful in achieving controlled release of a drug, for example, polylactic acid, polepsilon caprolactone, polyhydroxy butyric acid, polyorthoesters, polyacetals, polydihydropyrans, polycyanoacrylates and cross-linked or amphipathic block copolymers of hydrogels.

BIOLOGICAL ASSAYS Preparation of Human prostatic and scalp 5a-reductases

Samples of human tissue were pulverized using a freezer mill and homogenized in 40 mM potassium phosphate, pH 6.5, 5 mM magnesium sulfate, 25 mM potassium chloride, 1 mM phenylmethyl-sulfonyl fluoride, 1 mM dithiothreitol (DTT) containing 0.25M sucrose using a Potter-Elvehjem homogenizer. A crude nuclear pellet was prepared by centrifugation of the homogenate at 1,500xg for 15 min. The crude nuclear pellet was washed two times and resuspended in two volumes of buffer. Glycerol was added to the resuspended pellet to a final concentration of 20%. The enzyme suspension was frozen in aliquots at -80° C. The prostatic and scalp reductases were stable for at least 4 months when stored under these conditions.

5α-reductase assay

The reaction mixture contained in a final volume of 100 μl is: 40 mM buffer (human scalp, potassium phosphate, pH 6.5; human prostatic 5α-reductase, sodium citrate, pH 5.5), 0.3-10 μM¹⁴ C-T (or ³ H-T), 1 mM DTT, and 500 μM NADPH. Typically, the assay was initiated by the addition of 50-100 μg prostatic homogenate or 75-200 μg scalp homogenate and incubated at 37° C. After 10-50 min the reaction was quenched by extraction with 250 μl of a mixture of 70% cyclohexane: 30% ethyl acetate containing 10 μg each DHT and T. The aqueous and organic layers were separated by centrifugation at 14,000 rpm in an Eppendorf microfuge. The organic layer was subjected to normal phase HPLC (10 cm Whatman partisil 5 silica column equilibrated in 1 ml/min 70% cyclohexane: 30% ethyl acetate; retention times DHT, 6.8-7.2 min; androstanediol, 7.6-8.0; T, 9.1-9.7 min). The HPLC system consisted of a Waters Model 680 Gradient System equipped with a Hitachi Model 655A autosampler, Applied Biosystems Model 757 variable UV detector, and a Radiomatic Model A120 radio-activity analyzer. The conversion of T to DHT was monitored using the radioactivity flow detector by mixing the HPLC effluent with one volume of Flo Scint 1 (Radiomatic). Under the conditions described, the production of DHT was linear for at least 25 min. The only steroids observed with the human prostate and scalp preparations were T, DHT and androstanediol.

Stumptail macaque protocol

The following protocol is utilized with the stumptail macaque monkey to demonstrate the effect of compounds of the present invention for promoting hair growth.

Twenty-one male stumptail macaque monkeys of species Macaca speciosa are assigned to vehicle control and drug treatment groups on the basis of baseline hair weight data. This assignment procedure is necessary to insure that the average baseline hair growth for each control and experimental group is comparable. The control and drug treatment groups are as follows:

1. Topical 50:30:20 vehicle (N=6)

2. Oral 5α-reductase and topical 50:30:20 vehicle (N=5)

3. Oral placebo (N=5)

4. 5α-reductase in vehicle (N=5)

The vehicle consists of 50% propylene glycol, 30% ethanol and 20% water. A 100 mM concentration of topical 5α-reductase is formulated in this vehicle. The same 5α-reductase is administered as an oral dose of 0.5mg per monkey. Immediately prior to the dosing phase of the study, hair is removed from a 1 inch square area (identified by four tatoos) in the center of the balding scalp. This hair collection is the baseline hair growth determination prior to the beginning of treatment. Approximatly 250 μL of vehicle and 5α-reductase in vehicle is prepared and topically administered to the tatooed area of the scelp. The selected 5α-reductase and placebo is ingested by the monekys at the same time as the topical doses are administered. The monkeys are dosed once per day, seven days per week for twenty weeks.

At four week intervals throughout the dosing phase of the study, each monkey is shaved and the hair is collected and weighed. The body weight data (at baseline and during assay) is analyzed by the nonparametric Wilcoxon rank-sum test. Differences are significant at p <0.05. Hair weight data at each week collection for vehicle, placebo and treatment groups are expressed as the change from baseline. Statistical analysis is performed on the rank of the data to show overall differences among groups at each four week collection.

While the invention has been described and illustrated with reference to certain preferred embodiments thereof, those skilled in the art will appreciate that various changes, modifications and substitutions can be made therein without departing from the spirit and scope of the invention. For example, effective dosages other than the preferred dosages as set forth herein above may be applicable as a consequence of variations in the responsiveness of the mammal being treated for any of the indications for the compounds of the invention indicated above. Likewise, the specific pharmacological responses observed may vary according to and depending upon the particular active compound selected or whether there are present pharmaceutical carriers, as well as the type of formulation and mode of administration employed, and such expected variations or differences in the results are contemplated in accordance with the objects and practices of the present invention. It is intended, therefore, that the invention be limited only by the scope of the claims which follow and that such claims be interpreted as broadly as is reasonable. 

What is claimed is:
 1. A compound of the formula: ##STR70## and the pharmaceutically acceptable salts thereof, wherein: A is: ##STR71## with the proviso that where W is C(O), R³ is aryl or heteroaryl, ##STR72## wherein R¹ is:H, methyl or ethyl; R² is:H, or C₁₋₂₀ alkyl; R³ is:H, amino C₁ -C₄ alkyl, mono C₁ -C₄ alkylamino C₁ -C₄ alkyl, di C₁ -C₄ alkylamino C₁ -C₄ alkyl, mono C₁ -C₄ alkylaminoaryl, di C₁ -C₄ alkylaminoaryl, C₁₋₂₀ alkyl, aryl, heteroaryl, aryl C₁₋₂₀ alkyl, heteroaryl C₁₋₂₀ alkyl, C₁₋₂₀ alkylthio C₁₋₂₀ alkyl, C₁₋₂₀ alkylsulfinyl C₁₋₂₀ alkyl, C₁₋₂₀ alkylsulfonyl C₁₋₂₀ alkyl; C₀₋₁₀ alkylarylthio C₁₋₂₀ alkyl, C₀₋₁₀ alkylarylsulfinyl C₁₋₂₀ alkyl, C₀₋₁₀ alkylarylsulfonyl C₁₋₂₀ alkyl; C₁₋₂₀ alkyloxycarbonyl C₁₋₂₀ alkyl, carboxyl C₁₋₂₀ alkyl, carbo C₁₋₂₀ alkyloxy C₁₋₂₀ alkyl C₁₋₂₀ alkylcarbonyl C₁₋₂₀ alkyl, C₃₋₂₀ cycloalkyl, C₃₋₂₀ cycloalkenyl, C₃₋₂₀ cycloalkyl C₁₋₂₀ alkyl, aryl C₁₋₂₀ alkyloxycarbonyl C₁₋₂₀ alkyl, heteroaryl C₁₋₂₀ alkyloxycarbonyl C₁₋₂₀ alkyl, halo C₁₋₂₀ alkyl, hydroxyl C₁₋₂₀ alkyl, iminodibenzyl C₁₋₂₀ alkylaryl halohydroxyl C₁₋₂₀ alkyl, thiosulfato C₁₋₂₀ alkyl aryl C₁₋₂₀ alkyloxy C₁₋₂₀ alkyl, C₁₋₂₀ alkyloxy C₁₋₂₀ alkyl arylcarbonyl aryl C₁₋₂₀ alkyl, diaryl C₁₋₂₀ alkyl of the formula: ##STR73## n is an integer from 0-19; triaryl C₁₋₂₀ alkyl of the formula ##STR74## n is an integer from 1-19; C₂₋₂₀ alkenyl, C₂₋₂₀ alkenyl C₁₋₂₀ alkyl, aryloxyaryl, heteroaryl C₂₋₂₀ alkenyl, aryl C₂₋₂₀ alkenyl, C₂₋₂₀ alkynyl C₁₋₂₀ alkyl, arylcarboamidearyl C₁₋₂₀ alkyl, phosphono C₁₋₂₀ alkyl, aryl C₂₋₂₀ alkynyl C₁₋₂₀ alkyl, or heteroaryl C₂₋₂₀ alkynyl C₁₋₂₀ alkyl; R⁴ is:H, C₁₋₂₀ alkyl, aryl, or; heteroaryl; R⁵ can be the same or different when x is greater than 1 and is:H, or C₁₋₁₂ alkyl; R⁷ and R⁸ are independently selected from:H, CH₃, C₂ H₅, carboxamido, C₁₋₆ alkylthio, C₁₋₆ alkylsulfinyl, C₁₋₆ alkylsulfonyl, OCH₃, NH₂, CH₃ NH, (CH₃)₂ N, OH, NO₂, CN, F, acetamido, Cl, OC₂ H₅, CF₃, isopropyl, and isobutyl; W is: ##STR75## x is an integer from 1-25; at each occurrence, aryl is phenyl, either unsubstituted or substituted with one of R,wherein R is H, C₁₋₆ alkyl, aryl C₁₋₂₀ alkyl, wherein the alkyl groups are unsubstituted or substituted with one of C₁₋₈ alkyloxy, carboxy C₀₋₁₀ alkyl, hydroxy, or halogen or aryl directly substituted independently with one or two substituents selected from: hydroxyl, C₁₋₁₀ alkyl, C₂₋₂₀ alkenyl, C₁₋₂₀ alkyloxy, halo C₁₋₂₀ alkyl, benzoyl, cyano, nitro, carboxamide, acetamido and halogen; at each occcurrence, heteroaryl is independently selected from benztriazolyl, pyrrolyl, pyrazolyl, imidazolyl, pyridyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, indolyl, quinolinyl, isoquinolinyl, benzimidazolyl, thiadiazolyl, benzopyranyl, benzothiazolyl, benzoxazolyl, furyl, thienyl, benzothienyl, and oxadiazolyl, andcan be unsubstituted or substituted with one of R, as defined above, or independently with hydroxyl, C₁₋₂₀ alkyloxy, C₁₋₂₀ alkyl, C₂₋₂₀ alkenyl, halo C₁₋₂₀ alkyl, benzoyl, cyano, nitro, carboxamide, acetamide, or halogen directly bonded to the aromatic carbon atom(s); C₃₋₂₀ cycloalkyl is selected from cyclohexyl and adamantyl;and dashes indicate a double bond is optionally present.
 2. A compound according to claim 1 of the formula: ##STR76## and the pharmaceutically acceptable salts thereof, wherein: A is: ##STR77## with the proviso that where W is C(O), R³ is aryl or heteroaryl, ##STR78## wherein R¹ is:H, methyl or ethyl; R² is:H, or C₁₋₂₀ alkyl; R³ is:H, straight or branched chain C₁₋₂₀ alkyl, aryl, heteroaryl, aryl C₁₋₂₀ alkyl or the formula: ##STR79## wherein n is an integer from 1-10 and the aromatic ring is optionally and independently substituted with R⁷ and R⁸ wherein R⁷ and R⁸ are independently selected from: H, CH₃, C₂ H₅, carboxamido, C₁₋₆ alkylthio, C₁₋₆ alkylsulfinyl, C₁₋₆ alkylsulfonyl, OCH₃, NH₂, CH₃ NH, (CH₃)₂ N, OH, NO₂, CN, F, acetamido, Cl, OC₂ H₅, CF₃, isopropyl, and isobutyl; heteroaryl C₁₋₂₀ alkyl of the formula: ##STR80## wherein X equals O, S, or NR, R⁷ and R⁸ are as defined above, and n is an integer from 1-10; C₁₋₂₀ alkylsulfonyl C₁₋₂₀ alkyl, C₁₋₂₀ alkylthio C₁₋₂₀ alkyl, C₁₋₂₀ alkylsulfinyl C₁₋₂₀ alkyl of the formula:--(CH₂)nS(O)p--R⁹ wherein R⁹ isC₀₋₁₀ alkyl aryl, CH₃, C₂ H₅, C₃ H₇, C₄ H₉, isopropyl, isobutyl, sec-butyl, t-butyl, isopentyl, neopentyl, or isohexyl; n is an integer from 1-15 and p is an integer from 0-2; C₁₋₂₀ alkyloxycarbonyl C₁₋₂₀ alkyl of the formula: ##STR81## wherein R¹⁰ is: CH₃,C₂ H₅, C₃ H₇, C₄ H₉, or C₅ H₁₁ ; and n is an integer from 1-20; carboxyl C₁₋₂₀ alkyl of the formula: ##STR82## n is an integer from 1-20; C₁₋₂₀ alkylcarbonyl C₁₋₂₀ alkyl of the formula: ##STR83## n is an integer from 1-20, m is an integer from 0-19; C₃₋₂₀ cycloalkyl C₁₋₂₀ alkyl of the formula: --(CH₂)n--(cycloalkyl) wherein the cycloalkyl portion is a monocyclic, bicyclic, or polycyclic hydrocarbon of up to 20 carbon atoms wherein the rings are optionally substituted with R¹ and n is an integer from 1-20; aryl C₁₋₂₀ alkyloxycarbonyl C₁₋₂₀ alkyl of the formula: ##STR84## wherein R⁷ and R⁸ are as defined above and n is an integer from 1-20; heteroaryl C₁₋₂₀ alkyloxycarbonyl C₁₋₂₀ alkyl of the formula: ##STR85## wherein heteroaryl is as defined and n is an integer from 1-20; halo C₁₋₂₀ alkyl of the formula:--(CH₂)_(n) --CH₂ X wherein X equals Br, Cl, F or I and n is an integer from 1-19; hydroxyl C₁₋₂₀ alkyl of the formula:--(CH₂)_(n) CH₂ OH; n is an integer from 1-19; halohydroxyl C₁₋₂₀ alkyl of the formula: ##STR86## wherein n is an integer from 1-18, q is an integer from 0-18, and n+q=0-18 and X equals Br, Cl, F or I; thiosulfato C₁₋₂₀ alkyl of the formula:--(CH₂)_(n) CH₂ SSO₃ Na, n is an integer from 1-19; phosphono C₁₋₂₀ alkyl of the formula:--(CH₂)_(n) P(O)(OR)₂, wherein R is lower alkyl and n is an integer from 1-20; aryl C₁₋₂₀ alkyloxy C₁₋₂₀ alkyl of the formula: ##STR87## wherein R⁷ and R⁸ are as defined and n is an integer from 1-20; aryl carbonyl aryl C₁₋₂₀ alkyl of the formula: ##STR88## wherein R⁷ and R⁸ are as defined and n is an integer from 1-20; diaryl C₁₋₂₀ alkyl of the formula: ##STR89## wherein R⁷ and R⁸ are as defined and n is an integer from 0-19; triaryl C₁₋₂₀ alkyl of the formula: ##STR90## wherein R⁷ and R⁸ are as defined and n is an integer from 1-19; aryl C₂₋₂₀ alkenyl of the formula: ##STR91## wherein n is an integer from 0-18, m is an integer from 0-18, and m+n=0-18; R⁴ is:H, C₁₋₂₀ alkyl, aryl, or; heteroaryl; R⁵ can be the same or different when x is greater than 1 and is:H, or C₁₋₁₂ alkyl; W is: ##STR92## x is an integer from 1-10; at each occurrence, aryl is phenyl, either unsubstituted or substituted with one of R,wherein R is H, C₁₋₆ alkyl, aryl C₁₋₂₀ alkyl, wherein the alkyl groups are unsubstituted or substituted with one of C₁₋₈ alkyloxy, carboxy C₀₋₁₀ alkyl, hydroxy, or halogen or aryl directly substituted independently with one or two substituents selected from hydroxyl, C₁₋₁₀ alkyl, C₂₋₂₀ alkenyl, C₁₋₂₀ alkyloxy, halo C₁₋₂₀ alkyl, benzoyl, cyano, nitro, carboxamide, acetamido and halogen; at each occurrence, heteroaryl is independently selected from pyrrolyl, pyrazolyl, imidazolyl, pyridyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, indolyl, quinolinyl, isoquinolinyl, benzimidazolyl, thiadiazolyl, benzopyranyl, benzothiazolyl, benzoxazolyl, furyl, thienyl, benzothienyl, and oxadiazolyl, andcan be unsubstituted or substituted with one of R, as defined above, or independently with hydroxyl, C₁₋₂₀ alkyloxy, C₁₋₂₀ alkyl, C₂₋₂₀ alkenyl, halo C₁₋₂₀ alkyl, benzoyl, cyano, nitro, carboxamide, acetamide, or halogen directly bonded to the aromatic carbon atom(s); and dashes indicate a double bond is optionally present.
 3. A compound according to claim 1 and the pharmaceutically acceptable salts thereof, wherein: ##STR93## A is: R¹ is:H, methyl or ethyl; R² is:H, or C₁₋₂₀ alkyl; R³ is:H, C₁₋₂₀ alkyl, aryl, heteroaryl, aryl C₁₋₂₀ alkyl, heteroaryl C₁₋₂₀ alkyl, C₁₋₂₀ alkylthio C₁₋₂₀ alkyl, C₁₋₂₀ alkyloxycarbonyl C₁₋₂₀ alkyl, carboxyl C₁₋₂₀ alkyl, C₁₋₂₀ alkylcarbonyl C₁₋₂₀ alkyl, C₃₋₂₀ cycloalkyl, C₃₋₂₀ cycloalkyl C₁₋₂₀ alkyl, aryl C₁₋₂₀ alkyloxycarbonyl C₁₋₂₀ alkyl, heteroaryl C₁₋₂₀ alkyloxycarbonyl C₁₋₂₀ alkyl, halo C₁₋₂₀ alkyl, hydroxyl C₁₋₂₀ alkyl, thiosulfato C₁₋₂₀ alkyl arylcarbonyl aryl C₁₋₂₀ alkyl, diaryl C₁₋₂₀ alkyl of the formula: ##STR94## n equals 0-19; triaryl C₁₋₂₀ alkyl of the formula ##STR95## n equals 1-19; C₂₋₂₀ alkenyl; R⁴ is:H, C₁₋₂₀ alkyl, aryl, or heteroaryl.
 4. A compound according to claim 3 and the pharmaceutically acceptable salts thereof wherein:R¹ is:H, methyl, or ethyl; R² is:H, methyl, ethyl, linear or branched: propyl, butyl, pentyl, hexyl, or heptyl; R³ is:t-butyl 2,2-diphenylethyl 3-thienyl 2-thienyl, 11-(isopropylthio)undecyl, 7-(carbomethoxy)heptyl, 1-(1-(4-isobutylphenyl-)ethyl, 7-(carboxy)heptyl, acetylmethyl, 1-adamantylmethyl, 2-thienylmethyl, 2-(carbobenzyloxy)ethyl, 3,4-dimethoxyphenyl, phenyl, 5-bromopentyl, phenylthomethyl, t-butylthiomethyl, 3-methyl-2-thienyl, 5-methyl-2-thienyl, 11-hydroxyundecyl, 1-(4-nitrophenyl)ethyl, isopropylthiomethyl, 5-(thiosulfato)pentyl, benzyloxymethyl, carbomethoxymethyl, diphenylmethyl, triphenylmethyl, 2-furyl, 4-isopropylphenyl, cyclohexylmethyl, 4-methylcyclohexyl, 3(3-indolyl)propyl, 3-indolylmethyl, 4-isobutylphenyl, 4-nitrophenyl, 3-nitrophenyl, 3-acetamidomethyl, 4-ethoxyphenyl, hexadecyl, stearyl, 3,5-bis(trifluoromethyl)benzyl, 3-cyanophenyl, heptafiuoropropyl, 4-benzoylphenyl, 5-benztriazolyl, 3,5-difluorophenyl, bis(4-isopropylphenyl)methyl, 2-hydroxyphenyl, phenylvinyl, 2-hydroxy-3,3,3-trichloropropyl, methyl, allyl, n-propyl, n-octyl, isopropyl, (isopropylthio)methyl, isobutyl, ethyl, 2,2,2-triphenylethyl, benzyl, octadetyl, 2(ethyl)phenyl, 3(chloro)phenyl, 4(methyl)phenyl, 2,3(dichloro)phenyl, 2,6 (dichloro)phenyl, 4(fluoro)phenyl, 3(methoxy)phenyl, 3(acetamido)phenyl, 3-(imimodibenz-5-ylmethyl)phenyl, 3-trifluoromethylphenyl, 2(ethoxy)phenyl, formyl, or 2-thiazolyl; R⁴ is:H, methyl, ethyl, linear or branched: propyl, butyl, aryl or heteroaryl; W is: ##STR96##
 5. The compound according to claim 4 and the pharmaceutically acceptable salts thereof, wherein the compound is selected from:4-Methyl-20(trimethylacetamido)5α-4-aza-pregnan-3-one, 4-Methyl-17β(trimethylacetamidomethyl)-4-aza-5α-androstan-3-one, 4-Methyl-17β(2-thiophenesulfonamidomethyl)-4-aza-5α-androstan-3-one, 17β(Isopropylthiododecanoylamidomethyl)-4-aza-5α-androstan-3-one 4-Methyl-17β(thiophenecarboxamidomethyl)-4-aza-5α-androstan-3-one, 17β(Carbomethoxyoctnoylamidomethyl)-4-methyl-4-aza-5α-androstan-3-one, 17β(2-(4-isobutylphenyl)propionamidomethyl-4-Methyl-4-aza-5α-androstan-3-one, 17β(8-Carboxyoctnoylaminomethyl)-4-methyl-4-aza-5α-androstan-3-one, 17β(Acetoacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one, 4-Methyl-17β(2-thiopheneacetamidomethyl)-4-aza-5α-androstan-3-one, 17(3-(carbobenzyloxy)propioamidomethyl)-4-Methyl-4-aza-5α-androstan-3-one, 17β(3,4-dimethoxyphenylacetamidomethyl)-4-Methyl-4-aza-5α-androst-3-one, 17β(Benzenesulfonamidomethyl)-4-methyl-4-aza-5α-androstan-3-one, 17β(6-Bromohexanoylamidomethyl)-4-methyl-4-aza-5α-androstan-3-one, 17β(12-Hydroxydodecanoylamidomethyl-4-methyl-4-aza-5α-androstan-3-one, 4-Methyl-17β(2-(4-nitrophenyl)propionamidomethyl)-4-aza-5α-androstan-3-one, 17β(Isopropylthioacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one, 4-Methyl-17β(6-(thiosulfato)hexanoylamidomethyl)-4-aza-5α-androstan-3-one, 17β(Benzyloxyacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one, 17β(Carbomethoxyacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one, 17β(Diphenylacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one, 4-Methyl-17β(3,3,3-triphenylpropionamidomethyl)-4-aza-5α-androstan-3-one, 17β(2-Furylacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one, 17β(4-Isopropylphenylacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one, 17β(Cyclohexylacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one 17β(3-indolylacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one, 4-Methyl-17β(4-Methylcyclohexanecarboxamidomethyl)-4-aza-5α-androstan-3-one, 17β(4-(3-Indolyl)-butyramidomethyl)-4-methyl-4-aza-5α-androstan-3-one, 17β(4-Isobutylben [a]zamidomethyl)-4-methyl-4-aza-5α-androstan-3-one, 17β(Acetoxyacetamidomethyl)-4-methyl-4-aza-5α-androstan-3-one, 17β(6-Bromohexanoylamidomethyl)-4-Methyl-4-aza-5α-androstan-3-one, 20-((3-Acetamido)benzamido)-4-Methyl-4-aza-5α-pregnan-3-one, 17β(4-Ethoxybenzamidomethyl)-4-methyl-4-aza-5α-androstan-3-one, 4-Methyl-20-(stearoylamido)-4-aza-5α-pregnan-3-one, 4-Methyl-17β-(3,5-bis-(trifluoromethyl)benzamidomethyl)-4-aza-5α-androstan-3-one, 17β(3-Cyanobenzamidomethyl)-4-methyl-4-aza-5α-androstan-3-one, 20-(3,5-difluorobenzamido)-4-methyl-4-aza-5α-pregnan-3-one, 17β(Bis-(4-Isopropyl)phenyl)acetamidomethyl-4-methyl-4-aza-5αandrostan-3-one, 17(Cinnamoylamidomethyl)-4-methyl-4-aza-5α-androstan-3-one, 17β((3-Hydroxy-4,4,4-trichlorobutyramido)methyl)-4-methyl-4-aza-5.alpha.-androstan-3-one, 17-(2,6-Dichlorobenzamidomethyl)-5α-4-methyl-4-azaandrostan-3-one, 17-(3-Nitrobenzoylamidomethyl)-5α-4-methyl-4-azaandrostan-3-one, 17-(4-Nitrobenzoylamidomethyl)-5α-4-methyl-4-azaandrostan-3-one, 17-(3,3,-Diphenylpropionamidomethyl)-5α-4-methyl-4-azaandrostan-3-one 17-(3-Hydroxy-4,4,4,-trichlorobutyroylamidomethyl))-5α-4-methyl-4-azaandrostan-3-one, 17-Formamidomethyl-5α-4-methyl-4-azaandrostan-3-one, 4-Methyl-17-(3,3,3,-triphenylpropionamidomethyl)-5α-4-azaandrostan-3-one, 20-((Isopropylthio)acetamido)-4-methyl-5α-4-azapregnan-3-one, 20-((Isopropylthio)acetamido)-5α-4-azapregnan-3-one, 4-Methyl-17-((phenylthio)acetamidomethyl)-5α-4-azaandrostan-3-one, 17-((t-Butylthio)acetamidomethyl)-5α-4-methyl-4-azaandrostan-3-one, 17-(3-Methyl-2-thenoylaminomethyl)-4-methyl-5α-4-azaandrostan-3-one, 17-(5-Methyl-2-thenoylaminomethyl)-4-methyl-5α-4-azaandrostan-3-one, -Methyl-17-(3-(trifluoromethyl)-benzamidomethyl)-5α-4-azaandrostan-3-one, or 17-Benzamidomethyl-4-methyl-5α-4-azaandrostan-3-one.
 6. The compound according to claim 4 and the pharmaceutically acceptable salts thereof, wherein the compound is selected from:4-Methyl-20(trimethylacetamido)5α-4-aza-pregn-1-en-3-one, 4-Methyl-17β(trimethylacetamidomethyl)-4-aza-5αandrost-1-en-3-one, 4-Methyl-17β(2-thiophenesulfonamidomethyl)-4-aza-5α-androst-1-en-3-one, 17β(isopropylthiododecanoylaminomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 4-Methyl-17β(thiophenecarboxamidomethyl)-4-aza-5α-androst-1-en-3-one, 17β(-8-(Carbomethoxy)octnoylamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 17β(2-(4-Isobutylphenyl)propionamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 17β(8-Carboxyoctnoylamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 17β(Acetoacetamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 17β(1-Adamantylacetamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 4-Methyl-17β(2-thiopheneacetamidomethyl)-4-aza-5α-androst-1-en-3-one, 17β(3-(Carbobenzyloxy)propionamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 17β(3,4-Dimethoxyphenylacetamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 17β(Benzenesulfonamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 17β(6-Bromohexanoylarnidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 17β(12-Hydroxydodecanoylamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 4-Methyl-17β(2-(4-nitrophenyl)propionamidomethyl)-4-aza-5α-androst-1-en-3-one, 17β(Isopropylthioacetamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 4-Methyl-17β(6-(thiosulfato)hexanoylamidomethyl)4-aza-5-androst-1-en-3-one, 17β(Benzyloxyacetamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 17β(Carbomethoxyacetamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 17β(Diphenylacetamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 1β (3-(Carbobenzyloxy)propionamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 17β(3,4-Dimethoxyphenylacetamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 17β(Benzenesulfonamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 17β(6-Bromohexanoylamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 17β(12-Hydroxydodecanoylamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 4-Methyl-17β(2-(4-nitrophenyl)propionamidomethyl)-4-aza-5α-androst-1-en-3-one, 17β(Isopropylthioacetamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 4-Methyl-17β(6-(thiosulfato)hexanoylamidomethyl)-4-aza-5α-androst-1-en-3-one, 17β(Benzyloxyacetamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 17β(Carbomethoxyacetamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 17β(Diphenylacetamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 4-Methyl-17β(3,3,3-triphenylpropionamidomethyl)-4-aza-5α-androst-1-en-3-one, 17β(2-Furylacetamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one 17β(4-Isopropylphenylacetamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 17β(Cyclohexylacetamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 17β(3-Indolylacetamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 4-Methyl-17β(4-methylcyclohexanecarboxamidomethyl)-4-aza-5α-androst-1-en-3-one, 17β(4-(3-Indolyl)-butyramidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 17β(4-Isobutylbenzamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 17β(Acetoxyacetamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one 17β(6-Bromohexanoylamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 20-((3-Acetamido)benzamido)-4-methyl-4-aza-5α-pregn-1-en-3-one, 17β(4-Ethoxybenzamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 4-Methyl-20-(stearoylamido)-4-aza-5α-pregn-1-en-3-one, 4-Methyl-17β-(3,5-Bis-(trifluoromethyl)benzamido-methyl)-4-aza-5.alpha.-androst-1-en-3-one, 17β-(3-Cyanobenzamidomethyl)-4-methyl-4-aza-5α-androst-1-en-3-one, 20-(3,5-Difluorobertzamido)-4-methyl-4-aza-5α-pregn-1-en-3-one, 17β-(Bis-(4-Isopropyl)phenyl)acetamidomethyl-4-methyl-4-aza-5α-androst-1-en-one, 17β(Cinnarnoylamidomethyl)-4-Methyl-4-aza-5α-androst-1-en-3-one, 17β-((3-Hydroxy-4,4,4,-trichlorobutyramido)methyl)-4-methyl-4-aza-5.alpha.-androst-1-en-3-one, 17β-(2,6-Dichlombenzamidomethyl)-5α-4-methyl-4-azaandrosatan-1-en-3-one, 17β-(3-Nitrobenzoylamidomethyl)-5α-4-methyl-4-azaandrostan-1-en-3-one, 17β-(4-Nitrobenzoylamidomethyl)-5α-4-methyl-4-azaandrostan-1-en-3-one, 17-(3,3-Diphenylpropionamidomethyl)-5α-4-methyl-4-azaandrostan-1-en-3-one, 17β-(3-Hydroxy-4,4,4,-trichlorobutyroylamidomethyl))-5α-4-methyl-4-azaandrostan-1-en-3-one, 17β-Formamidomethyl-5α-4-methyl-4-azaandrostan-1-en-3-one, b 4-Methyl -17-(3,3,3,-triphenylpropionamidomethyl)-5α-4-azaandrostan-1-en-3-one, 20-((Isopropylthio)acetamido)-4-methyl-5α-4-azapregnan-1-en-3-one, 20-((Isopropylthio)acetamido)-5α-4-azapregnan-1-en-3-one, 4-Methyl-17-((phenylthio)acetamidomethyl)-5α-4-azaandrostan-1-en-3-one, 17β-((t-Butylthio)acetamidomethyl)-5α-4-methyl-4-azaandrostan-1-en-3-one, 17β-(3-Methyl-2-thenoylaminomethyl)-4-methyl-5α-4-azaandrostan-1-en-3-one, 17β-(5-Methyl-2-thenoylaminomethyl)-4-methyl-5 α-4-azaandrostan-1-en-3-one, 4-Methyl-17-(3-(trifluoromethy 1)-benzamidomethyl)-5α-4-azaandrostan-1-en-3-one, 17-(2,6-Dichlorobenzamidomethyl)-5α-4-methyl-4-azaandrostan-1-en-3-one, 17-(3-Nitrobenzoylamidomethyl)-5α-4-methyl-4-azaandrostan-1-en-3-one, 17-(4-Nitrobenzoylamidomethyl)-5 α-4-methyl-4-azaandrostan-1-en-3-one, 17-(3,3-Diphenylpropionamidomethyl)-5 α-4-methyl-4-azaandrostan-1-en-3-one, 17-(3-Hydroxy-4,4,4,-trichlorobutyroylamidomethyl))-5α-4-methyl-4-azaandrostan-1-en-3-one, 17-Formamidomethyl-5α-4-methyl-4-azaandrostan-1-en-3-one, 4-Methyl-17-(3,3,3,-triphenylpropionamidomethyl)-5α-4-azaandrostan-1-en-3-one, 20-((Isopropylthio)acetamido)-4-methyl-5α-4-azapregnan-1-en-3-one, 20-((Isopropylthio)acetamido)-5α-4-azapregnan-1-en-3-one, 4-Methyl-17-((phenylthio)acetamidomethyl)-5α-4-azaandrostan-1-en-3-one, 17-((t-Butylthio)acetamidomethyl)-5α-4-methyl-4-azaandrostan-1-en-3-one, 17(3-Methyl-2-thenoylaminomethyl)-4-methyl-5α-4-azaandrostan-1-en-3-one, 17-(5-Methyl-2-thenoylaminomethyl)-4-methyl-5α-4-azaandrostan-1-en-3-one, 4-Methyl-17-(3-(trifluoromethyl)-benzamidomethyl)-5α-4-azaandrostan-1-en-3-one, or 17-Benzarnidomethyl-4-methyl-5 α-4-azaandrostan-1-en-3-one.
 7. A compound according to claim 1 and the pharmaceutically acceptable salts thereof wherein: ##STR97## with the proviso that where W is C(O), R³ is aryl or heteroaryl, A is:R¹ is:H, methyl, or ethyl; R² is:H, or C₁₋₁₂ alkyl; R³ is:H, C₁₋₂₀ alkyl, aryl, heteroaryl, amino C₁ -C₄ alkyl, mono-C₁ -C₄ alkylamino C₁ -C₄ alkyl, di-C₁ -C₄ alkylamino C₁ -C₄ alkyl, aryl C₁₋₂₀ alkyl, heteroaryl C₁₋₂₀ alkyl, C₁₋₂₀ alkylthio C₁₋₂₀ alkyl, C₁₋₂₀ alkylsuffonyl C₁₋₂₀ alkyl, C₁₋₂₀ alkylsulfinyl C₁₋₂₀ alkyl; C₁₋₂₀ alkyloxycarbonyl C₁₋₂₀ alkyl, carboxyl C₁₋₂₀ alkyl, carbo C₁₋₂₀ alkyloxy C₁₋₂₀ alkyl C₁₋₂₀ alkylcarbonyl C₁₋₂₀ alkyl, C₃₋₂₀ cycloalkyl, C₃₋₂₀ cycloalkyl C₁₋₂₀ alkyl, aryl C₁₋₂₀ alkyloxycarbonyl C₁₋₂₀ alkyl, heteroaryl C₁₋₂₀ alkyloxycarbonyl C₁₋₂₀ alkyl, halo C₁₋₂₀ alkyl, hydroxyl C₁₋₂₀ alkyl, halohydroxyl C₁₋₂₀ alkyl, thiosulfato C₁₋₂₀ alkyl aryl C₁₋₂₀ alkyloxy C₁₋₂₀ alkyl, arylcarbonyl aryl C₁₋₂₀ alkyl, diaryl C₁₋₂₀ alkyl, triaryl C₁₋₂₀ alkyl, C₂₋₂₀ alkenyl, phosphono C₁₋₂₀ alkyl, C₂₋₂₀ alkenyl C₁₋₂₀ alkyl, heteroaryl C₂₋₂₀ alkenyl, aryl C₂₋₂₀ alkenyl, C₂₋₂₀ alkynyl C₁₋₂₀ alkyl, aryl C₂₋₂₀ alkynyl C₁₋₂₀ alkyl, or heteroaryl C₂₋₂₀ alkynyl C₁₋₂₀ alkyl; ##STR98##
 8. A compound according to claim 7 and the pharmaceutically acceptable salts thereof wherein:R¹ is:H, methyl, ethyl, R² is:H, methyl, ethyl, linear or branched: propyl, butyl, pentyl, hexyl, or heptyl; R³ is:t-butyl, 3-thienyl, 2-thienyl, 4-pyrdinyl, 2-pyridinyl, 3-pyridinyl, (2(3-benzamido)phenyl)ethyl, t-rifluoromethyl,
 2. 3-difluorophenyl,2-methylphenyl, 2,3-dimethylphenyl, cinnamoyl, formyl, 2-propyl, 3-methylbutyl, 2-(carbomethoxy)-1-cyclopentenyl, 2,6-difluorophenyl, 2,3-difluorophenyl, 2,6-dichlorophenyl, t-butylmethyl, t-butylthiomethyl, (phenyl)methyl, phenylthiomethyl, 11-(isopropylthio)undecyl, 7-(carbomethoxy)heptyl, 3-carboxy-3-methylbutyl, 3-(carbomethoxy)-3-methylbutyl, 3-(carbomethoxy)-2,2-dimethylpropyl, 1-(1-(4-isobutylphenyl))ethyl, 7-(carboxy)heptyl, acetoxymethyl, 1-methyl-2-pyrrole, 5-(diethylphosphono)pentyl, 2-(4'-fluoro-3,5,3'-trimethylbiphen-2-yl)ethyl, 2-phenylpropyl, 2,2-dimethylethylenyl, 4-benzyloxyphenyl, 2,4,4-trimethylpentyl, benzylthiomethyl, benzthiophen-3-yl, 2-hydroxy-2-propyl, 2-acetoxy-2-propyl, 1-adamantylmethyl, 2-thienylmethyl, 2-(phenyl)propyl, 2-(carbobenzyloxy)ethyl, 3,4-dimethoxyphenyl, phenyl, 5-bromopentyl, 11-hydroxyundecyl, 1-ethyl-4-nitrobenzene-1-yl, isopropylthiomethyl, 5-(thiosulfato)pentyl, benzyloxymethyl, carbomethoxymethyl, diphenylmethyl, triphenylmethyl, 1-methyl-2-pyrrolyl, 3-carboxy-3-methylbutyl, 2-furyl, 5-(Diethylphosphono)pentyl, 4-isopropylphenyl, cyclohexylmethyl, 4-methylcyclohexyl, 3-(3-Indolyl)propyl, 3-Indolylmethyl, 4-isobutylphenyl, 4-nitrophenyl, 3-nitrophenyl, 2,3-difluorophenyl, 3-fluoro-2-methylphenyl, 2-fluorophenyl, 2,2-dimethylethylenyl, 3-acetamidomethyl, 4-ethoxyphenyl, 3-(2-nitrophenoxy) propyl, hexadecyl, stearyl,
 3. 5-Bis(trifluoromethyl)phenyl,3-cyanophenyl, 4-cyanophenyl, 2,4,4-trimethylpentyl, t-butylmethyl, benzyl, heptafluoropropyl, 5-benztriazolyl, 3,5 difluorophenyl, Bis(4-isopropylphenyl)methyl, 2-hydroxyphenyl, 2-phenylvinyl, or 2-hydroxy-3,3,3-trichioropropyl; W is: ##STR99##
 9. The compound according to claim 8 and the pharmaceutically acceptable salts thereof, wherein the compound is selected from:4-Methyl-17β(3-thienylamido)-4-aza-5α-androstan-3-one, 17-Benzoylamido-5α-4-methyl-4-azaandrostan-3-one, 17-(2-Thiophenesulfonarnido)-5α-4-methyl-4-azaandrostan-3-one, 4-Methyl-17-(phenylthioacetamido)-5α-4-methyl-4-azaandrostan-3-one, 4-Methyl-17-(3-thenoylamino)-5α-4-azaandrostan-3-one, 17-((t-Butylthio)acetamido)-4-methyl-5α-4-azaandrostan-3-one, 4-Methyl-17-3-thiophenacetamido)-5α-4-azaandrostan-3-one, 4-Methyl-17-(4-nitrobenzamido)-5α-4-azaandrostan-3-one, 4-Methyl-17-(3-nitrobenzamido)-5α-4-azaandrostan-3-one, 17-(2-Fluorobenzamido)-4-methyl-5α-4-azaandrostan-3-one, 17-(4-cyanobenzamido)-4-methyl-5α-4-azaandrostan-3-one, 17-(Benzthiophen-3-ylacetamido)-4-methyl-5α-4-azaandrostan-3-one, 4-Methyl-17-(2-thiophenecarboxamido)-5α-4-azaandrostan-3-one, 17-(1-Methyl-2-pyrrolecarboxamido)-4-methyl-5α-4-azaandrostan-3-one, 17-(2,3-Difluorobenzoylamido)-4-methyl-5α-4-azaandrostan-3-one, 4-Methyl-17-(2-methylbenzoylamido)-5α-4-azaandrostan-3-one, 17-(2,3-Dimethylbenzamido)-4-methyl-5α-4-azaandrostan-3-one, 17-(3,4-Dimethoxybenzamido)-4-methyl-5α-4-azaandrostan-3-one, 17-(3,3-Dimethyl-4-(1-(4-isobutylphenyl)ethoxy)benzamido)-4-methyl-5α-4-aza-androstan-3-one, 17-(4-Benzyloxybenzamido)-4-methyl-5α-4-azaandrostan-3-one, 4-Methyl-17-(3-fluoro-2-methylbenzamido)-5α-4-azaandrostan-3-one, 17-((Benzylthio)acetamido)-4-methyl-5α-4-azaandrostan-3-one, 17-(Isonicotinoylamino)-4-methyl-5α-4-azaandrostan-3-one, 4-Methyl-17-phenylacetamido-5α-4-azaandrostan-3-one, 4-Methyl-17-(picolinoylamido)-5α-4-azaandrostan-3-one, 4-Methyl-17-(nicotinoylamido)-5α-4-azaandrostan-3-one, 17-(2,6-Difluorobenzamido)-4-methyl-5α-4-azaandrostan-3-one, and 17-(2,3-Difluorobenzamido)-4,7-dimethyl-5α-4-azaandrostan-3-one.
 10. The compound according to claim 8 and the pharmaceutically acceptable salts thereof, wherein the compound is selected from:17-Benzoylamido-5α-4-methyl-4-azaandrostan-1-en-3-one, 17-(2-Thiophenesulfonamido)-5α-4-methyl-4-azaandrostan-1-en-3-one, 4-Methyl-17-(phenylthioacetarnido)-5α-4-methyl-4-azaandrostan-1-en-3-one, 4-Methyl-17-(3-thenoylamino)-5α-4-azaandrostan-1-en-3-one, 17-((t-Butylthio)acetamido)-4-methyl-5α-4-azaandrostan-1-en-3-one, 4-Methyl-17-(3-thiophenacetamido)-5α-4-azaandrostan-1-en-3-one, 4-Methyl-17-(4-nitrobenzamido)-5α-4-azaandrostan-1-en-3-one, 4-Methyl-17-(3-nitrobenzamido)-5α-4-azaandrostan-1-en-3-one, 17-(2-Fluorobenzamido)-4-methyl-5α-4-azaandrostan-1-en-3-one, 17-(4-cyanobenzamido)-4-methyl-5α-4-azaandrostan-1-en-3-one, 17-(Benzthiophen-3-ylacetamido)-4-methyl-5α-4-azaandrostan-1-en-3-one 4-Methyl-17-(2-thiophenecarboxamido)-5α-4-azaandrostan-1-en-3-one, 17-(1-Methyl-2-pyrrolecarboxamido)-4-methyl-5α-4-azaandrostan-1-en-3-one, 17-(2,3-Difluorobenzoylamido)-4-methyl-5α-4-azaandrostan-1-en-3-one, 4-Methyl-17-(2-methylbenzoylamido)-5α-4-azaandrostan-1-en-3-one, 17-(2,3-Dimethylbenzamido)-4-methyl -5α-4-azaandrostan-1-en-3-one, 17-(3,4-Dimethoxybenzamido)-4-methyl-5α-4-azaandrostan-1-en-3-one, 17-(3,3-Dimethyl-4-(1-(4-isobutylphenyl)ethoxy)benzamido)-4-methyl-5α-4-aza-androstan-1-en-3-one, 17-(4-Benzyloxybenzamido)-4-methyl-5α-4-azaandrostan-1-en-3-one, 4-Methyl-17-(3-fluoro-2-methylbenzamido)-5α-4-azaandrostan-1-en-3-one 17-((Benzylthio)acetamido)-4-methyl-5α-4-azaandrostan-1-en-3-one, 17-(Isonicotinoylamino)-4-methyl-5α-4-azaandrostan-1-en-3-one, 4-Methyl-17-phenylacetamido-5α-4-azaandrostan-1-en-3-one, 4-Methyl-17-(picolinoylamido)-5α-4-azaandrostan-1-en-3-one, 4-Methyl-17-(nicotinoylamido)-5α-4-azaandrostan-1-en-3-one, 17-(2,6-Difluorobenzamido)-4-methyl-5α-4-azaandrostan-1-en-3-one, and 17-(2,3-Difluorobenzamido)-4,7-dimethyl-5α-4-azaandrostan-1-en-3-one.
 11. A compound according to claim 1 and the pharmaceutically acceptable salts thereof, wherein: ##STR100## A is: R¹ is:H, methyl or ethyl; R² is:H, or C₁₋₁₂ alkyl; R³ is:H, C₁₋₂₀ alkyl, aryl, heteroaryl, aryl C₁₋₂₀ alkyl, heteroaryl C₁₋₂₀ alkyl, C₁₋₂₀ alkylthio C₁₋₂₀ alkyl, C₁₋₂₀ alkylsulfinyl C₁₋₂₀ alkyl, C₁₋₂₀ alkylsulfonyl C₁₋₂₀ alkyl, C₁₋₂₀ alkyloxycarbonyl C₁₋₂₀ alkyl, carboxyl C₁₋₂₀ alkyl, C₁₋₂₀ alkylcarbonyl C₁₋₂₀ alkyl, C₃₋₂₀ cycloalkyl, C₃₋₂₀ cycloalkyl C₁₋₂₀ alkyl, aryl C₁₋₂₀ alkyloxycarbonyl C₁₋₂₀ alkyl, heteroaryl C₁₋₂₀ alkyloxycarbonyl C₁₋₂₀ alkyl, halo C₁₋₂₀ alkyl, hydroxy C₁₋₂₀ alkyl, halohydroxy C₁₋₂₀ alkyl, thiosulfato C₁₋₂₀ alkyl aryl C₁₋₂₀ alkyloxy C₁₋₂₀ alkyl arylcarbonyl aryl C₁₋₂₀ alkyl, diaryl C₁₋₂₀ alkyl of the formula: ##STR101## wherein R⁷ and R⁸ are as defined above and n is an integer from 0-19; triaryl C₁₋₂₀ alkyl of the formula ##STR102## wherein R⁷ and R⁸ are as defined above and n is all integer from 1-19; C₂₋₂₀ alkenyl, C₂₋₂₀ alkenyl C₁₋₂₀ alkyl, heteroaryl C₂₋₂₀ alkenyl, aryl C₂₋₂₀ alkenyl, C₂₋₂₀ alkenyl C₁₋₂₀ alkyl, aryl C₂₋₂₀ alkenyl C₁₋₂₀ alkyl, or heteroaryl C₂₋₂₀ alkynyl C₁₋₂₀ alkyl; R⁴ is:H, C₁₋₂₀ alkyl, aryl, or heteroaryl; R⁵ can be the same or different when x is greater than 1 and is:H, or C₁₋₂₀ alkyl; W is: ##STR103## and x is an integer from 1-10.
 12. A compound according to claim 11 and the pharmaceutically acceptable salts thereof wherein:R¹ is:H, methyl, or ethyl; R² is:H, methyl, ethyl, linear or branched:propyl, butyl, pentyl, hexyl, or heptyl; R³ is:t-butyl 3-thienyl 2-thienyl, 11-(isopropylthio)undecyl, 7-(carbomethoxy)heptyl, 1-(1-(4-isobutylphenyl-)ethyl, 7-(carboxy)heptyl, acetylmethyl, 1-adamantylmethyl, 2-thienylmethyl, 2-(carbobenzyloxy)ethyl, 3,4-dimethoxyphenylmethyl, phenyl, 5-bromopentyl, 11-hydroxyundecyl, 1-(4-nitrophenyl)ethyl, isopropylthiomethyl, 5-(thiosulfato)pentyl, benzyloxymethyl, carbomethoxymethyl, diphenylmethyl, triphenylmethyl, 2-furyl, 4-isopropylphenyl, cyclohexylmethyl, 4-methylcyclohexyl, 3-(3-indolyl)propyl, 3-indolylmethyl, 4-isobutylbenzyl, 4-nitrobenzyl, 3-acetamidomethyl, 4ethoxybenzyl, hexadecyl, (isopropylthio)methyl, stearyl, 3,5-bis(trifluoromethyl)benzyl 3-cyanobenzyl, heptafluoropropyl, 4-benzoylbenzyl, 5-benztriazolyl, 3,5-difluorobenzyl, bis(4-isopropylphenyl)methyl, 2-hydroxybenzyl, phenylvinyl, 2-hydroxy-3,3,3-trichloropropyl, methyl, allyl, n-propyl, n-octyl, isopropyl, isobutyl, ethyl, benzyl, octadecyl, 2(ethyl)phenyl, 3(chloro)phenyl, 4(methyl)phenyl, 2,3(dichloro)phenyl, 4(fluoro)phenyl, 3(methoxy)phenyl, 2(ethoxy)phenyl, or 2-thiazolyl; R⁴ is:H, methyl, ethyl, linear or branched:propyl butyl, aryl, or heteroaryl; R⁵ can be the same or different when x is greater than 1 and is:H, methyl, ethyl, propyl, butyl, or pentyl.
 13. The compound according to claim 12, selected from:4-Methyl-20-(4-Nitrobenzamidomethyl)-4-aza-5α-pregnan-3-one, 20-(3,4-Dimethoxyphenylacetamidomethyl)-4-methyl-4-aza-5α-pregnan-3-one, 4-Methyl-20-(Palmitoylamidomethyl)-4-aza-5α-pregnan-3-one, 20-(Heptafluorobutyramidomethyl)-4-methyl-4-aza-5α-pregnan-3-one, or 4-Methyl-20(salicylamidomethyl)-4-aza-5α-pregnan-3-one.
 14. The compound according to claim 12, selected from:4-Methyl-20-(4-nitrobenzamidomethyl)-4-aza-5α-1-pregnen-3-one, 20-(3,4-Dimethoxyphenylacetamidomethyl)-4-methyl-4-aza-5α-1-pregnen-3-one, 4-Methyl-20-(palmitoylaminomethyl)-4-aza-5α-1-pregnen-3-one, 20(Heptafluorobutyramidomethyl)-4-methyl-4-aza-5α-1-pregnen-3-one, or 4-Methyl-20(Salicylamidomethyl)-4-aza-5α-1-pregnen-3-one.
 15. A pharmaceutical composition comprising 0.5 m 1000 mg of a compound of claim 1 in a pharmaceutically acceptable carrier therefor.
 16. A method of treating acne in a human host in need of such treatment comprising the step of administering to said host 0.5 to 1000 mg per adult human per day of the compound defined in claim
 1. 